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Personal Info
On a scale of 0-10, how would you rate your stress level?
Please enter a number from
0
to
10
.
How many hours of sleep do you get per night?
Have you ever participated in a fitness program or sport prior to now?
Yes
No
Why?
Why did you decide you wanted to partake in fitness?
What are your favorite leisure activities?
What is your short term goal(s) in fitness?
What is your long-term goal(s) in fitness?
Do you have familial support in reaching your fitness goals?
