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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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