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Fitness Assessment
USA and Canada only.
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What is your current fitness level?
Beginner
Intermediate
Advanced
Other
Clear selection
Where do you prefer working out?
Gym
Home
Both
Other
Clear selection
What fitness programs are you currently participating in?
Your answer
Which programs have you done in the past?
Any injuries
Your answer
How often do you workout?
Your answer
How is your nutrition
Poor
Fair
Excellent
Clear selection
Are you currently taking any supplements?
If so, which ones?
Your answer
What are your health and fitness goals?
Lose Weight
Bulk up
Better Athlete
Eat Healthier
Other
Clear selection
Tell me why your above goal is so important to you?
Please be specific
Your answer
What is your commitment level for achieving your goals?
Low
1
2
3
4
5
Very High
Clear selection
What is your full name?
Your answer
Current email address?
Your answer
What is your Facebook URL?
Your answer
What is the nature of your fitness assessment?
Become a Coach
Just a Customer
Clear selection
Would you like partial proceeds of your Challenge Pack purchase to benefit a charity?
If so, please provide the information below.
Your answer
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