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Fitness Trainer Matching Questionnaire

We will use these answers to match you within 24 hours with your perfect trainer

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* 1. What is your First and Last Name?

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* 2. What is your email address?

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* 3. What is your Phone Number?

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* 4. What is your gender?

Female

Male

Other (please specify)

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* 5. What is your age?

18 to 24

25 to 34

35 to 44

45 to 54

55 to 64

65 to 74

75 or older

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* 6. How far are you willing to travel for your workout?

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* 7. Would you prefer a trainer to come to you? if yes, please provide address.

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* 8. What are your Fitness Goals?

Weight Loss

Strength Training

Endurance Cardio

Speed, Agility, Quickness

Body Building

Flexibility

Mobility

Physical Therapy

Other (please specify)

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* 9. What is your Preferred Workout Type?

Strength

High Intensity Interval Training

Barre

Yoga

Kickboxing

Form Intense / Injury Prevention

Physical Therapy

Other (please specify)

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* 10. What Style of Trainer do you find effective?

Military

Mentor

Coach

Advocate

Encouraging

Other (please specify)

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* 11. Please Provide any additional notes to our Fitness Professionals, including any past or present injuries.

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* 12. Please upload your profile picture

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.

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