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* 1. Your Name, (first, last)

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* 2. Have you ever taken a Yoga or Barre class?

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* 3. Do your fitness goals include:

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* 4. Do you currently belong to a health club? 

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* 5. Would you be interested in receiving specials and coupons?

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* 6. On weekdays, what are the best times for you to attend a class?

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* 7. On weekends, what are the best times for you to attend a class?

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* 8. What are you more interested in?

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* 9. Referred by:

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* 10. Thank you for completing this survey. Please provide us your email to receive a coupon for a $3.00 Yoga class or a $7.00 Barre class.

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