"CREATE A PROGRAM THAT FITS MY LIFESTYLE"
Name
Email
Phone
Age
---
Gender
Male
Female
Others
Height
---
Weight( lbs )
---
How many days/week do you work out?
---
1x/week
2x/week
3x/week
4x/week
5x/week
6x/week
7x/week
What's your goal?
Feel better/"Average"
Get in better shape/"Fit"
Get in best shape of my life/"Athlete"
Do you experience any aches/pains when you perform physical activity?
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Yes
No
How often do you stretch?
---
1x/week
2x/week
3x/week
4x/week
5x/week
6x/week
7x/week
List 3-5 foods you consider a "Cheat food" that you really enjoy
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