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What is Your Age Group
 
Under 12
 
13-18
 
19-32
 
33-45
 
45+
 
 
 
Do you want to lose or gain weight?
 
Lose
 
Gain
 
 
 
Do You like to workout?
 
Yes
 
No
 
 
 
(If so)Why do you workout?
 
To benefit health
 
Because i like to
 
To stay in shape
 
It is a hobby
 
 
 
How many times do you usually workout?
 
Weekly
 
Monthly
 
Quarterly
 
Annually
 
 
 
Are you intersted in joining a fitness gym?
 
Yes
 
No
 
 
 
What types of things do you look for when your searching for a fitness center?
   
 
 
 
would you like to join our gym?
 
yes
 
no
 
 
If you would like to join our fitness center please fill out the following
First Name : 
Last Name : 
Address 1 : 
Address 2 : 
City : 
State : 
Zip : 
Phone : 
Email Address : 
 
 
 
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