Sue Kauffman Fitness Application
Congratulations on taking the first step to living the healthy lifestyle! Fill out and submit this application and I will be in touch if you qualify.
First Name
Your answer
E-mail address
Your answer
Phone Number
Your answer
Preferred method of contact
Gender
Have you been exercising regularly in the past 3 months
What is your favorite book or movie?
Your answer
What is your favorite TV show?
Your answer
Why did you choose to apply? What do you think I can help you with?
Your answer
On a scale of 1-10, how committed are you to learning how to live the healthy lifestyle?
I'm going to be on fire for about 2 weeks and quit
I'm in this for the long haul! I'm ready!
Submit
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