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Tell me about you
I'm looking for professionals and on-the-go people with busy schedules and families with kids or grandchildren - regardless of age or fitness level - to answer a few short questions. If this is you, then please help out. If you know somebody, then please tag them below or forward this form. Thank you!
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Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Age
Your answer
Gender
Male
Female
Prefer not to say
Clear selection
Your fitness or health goals in 3 sentences or less
Your answer
What's stopping you from reaching your goal?
Your answer
What kind of assistance would you be looking for to achieve your health and fitness goals?
Your answer
Today's date
MM
/
DD
/
YYYY
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