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Cell Phone *
Do you have any injuries? * YesNo
If YES, please explain
Do you have any medical conditions we should be aware of? * YesNo
Currently, how many times per week are you active? * 01-33-55-7
What are your fitness goals? *
How many days per week would you like to work out? * 1-33-6
Are you active military, veteran or first responder (law enforcement/fire/military)? * YesNo
Are you a student? * YesNo
Is there anything else you would like to let us know?