Specific Training and Nutritional Survey
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1. How important is daily fitness to you? Little Some what Very important Extreamly No Answer
2. What is your current level of fitness training? Very little Little (1-2 hours a week) Moderate (2-4 hours a week) Active No Answer
3. What is your target fitness goal and ideal weight?
4. What are your specific training goals? Lose weight Lose inches Firm up Improve flexibility Increase aerobic capacity Gain weight Other No Answer Other:
5. Would you attend a presentation on specific training and nutrition? Yes No No Answer
6. How often do you participate in specific training programs each week? 1 day 2 days 3 days 4 days 5 days Daily No Answer
7. Would you prefer individual or a group training session? Individual Group No Answer
8. What are your specific training areas of interest? Walking Jogging Bicycling Aerobic exercise Fitness circuit Weight training Other No Answer
Other:
9. How many times a week would you train if you have the opportunity? Daily 1 Day 2 Days 3 Days 4 Days 5 Days Weekends Week days No Answer
10. Do you use nutritional supplements? Yes No No Answer
11. When selecting a nutritional product what is your #1 concern?
12. How often do you purchase nutritional supplements? Weekly Monthly Bi-Monthly Quarterly Semi-annual Annual Never When ever Other No Answer Other:
13. What are your eating habits like?
14. What is your specific area of interest? Training Programs Nutritional Supplements Consultant Services Motivational Speaking Other No Answer Other:
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