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The Central-Fitness Health and Fitness Questionnaire
Full Name
Email Address
Date of Birth
Phone
Town of Residence
What is my primary health and fitness goal?
Lose Weight
Tone Up
Build Muscle
Train for an Event
Feel good about myself and my body.
Other - Let us no in the comments box below.
How often do I work out at the moment?
Every day.
3 - 4 times per week.
1 - 2 times per week.
1 - 2 times per month.
Never.
Other - Let us no in the comments box below.
What challenges me the most when it comes to exercise?
I don't have enough time.
I don't make it a priority.
None of my friends will come with me.
It's to expensive to go to the gym.
I don't know where to start.
I'm a little scared of the gym.
I get regular exercise.
Other - Let us no in the comments box below.
How do I feel about my eating habits?
I've never really thought about it.
I think I could eat better but I don't know how.
I do my best but I could improve.
It's pretty good but not perfect.
I'm a nutrition superstar!
Other - Let us no in the comments box below.
Comments
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