HEART! Fitness Questionaire
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Email
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Your email
Name
*
Your answer
Phone Number
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Your answer
Gender
Male
Female
Prefer not to say
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How much are you willing to invest?
375
675
1000
1250
1500
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Age
Your answer
Height
Your answer
Current Weight
Your answer
How much do you spend on food a week?
Your answer
Are you taking Supplements?
Yes
No
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