Balance Solution Application
Name *
Your answer
Age *
Your answer
Email *
Your answer
What is the best number to reach you directly? *
Your answer
What are your biggest fitness goals for the next 90 days? *
Your answer
What are the biggest obstacles YOU will face in reaching these goals?
Your answer
What is your level of commitment to improving your fitness? 1 being "I am in a committed relationship with chips and queso exclusively" and 10 being "I will crush egg whites and protein shakes while I plot the demise of my enemies!!!" *
Do you have a favorite sport? Are you a die hard fan of a certain team? (if its the Boston Bruins, we will get along wonderfully) *
Your answer
DO you have any existing medical conditions that I need to know about? *
Your answer
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