LIFT360

Introductory Survey

Thank you for your interest in LIFT360! Please fill out our quick introductory survey to help us learn more about you and your fitness goals. The information you provide will help us customize your fitness program to your specific needs.

Once the survey is submitted, we will be in touch shortly to get you started on your fitness journey!

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* 1. What are your fitness goals?

Lose weight

Build muscle

Tone up

Other (please specify)

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* 2. What exercise activities do you currently take part in? (e.g., running, yoga, weightlifting, etc.)

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* 3. Do you currently have access to a gym, or are you planning to join a gym in the near future?

Yes

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* 4. How many days per week can you commit to exercising?

2-3

4-5

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* 5. How much time per day can you commit to exercise?

30 minutes

45 minutes

60 minutes

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* 6. Which LIFT360 plan are you interested in?

LIFT Pro
8-week program customized to your specific goals

360 Plus
Monthly membership option that includes personalized workouts, access to exercise demonstration videos, regular check ins with a certified personal trainer, and nutrition coaching

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* 7. Please list any previous or existing injuries or health conditions

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* 8. What is your preferred method of contact?

Text

Phone

Other (please specify)

LIFT360

Introductory Survey

Question Title

* 1. What are your fitness goals?

Question Title

* 2. What exercise activities do you currently take part in? (e.g., running, yoga, weightlifting, etc.)

Question Title

* 3. Do you currently have access to a gym, or are you planning to join a gym in the near future?

Question Title

* 4. How many days per week can you commit to exercising?

Question Title

* 5. How much time per day can you commit to exercise?

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* 6. Which LIFT360 plan are you interested in?

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* 7. Please list any previous or existing injuries or health conditions

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* 8. What is your preferred method of contact?

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* 9. Please list your first and last name and contact information