Specific Training and Nutritional Survey

Name:  
Address:  
City:  
State:  
Zip/Postal code:  
Telephone:  
Email:  

1. How important is daily fitness to you?

2. What is your current level of fitness training?

3. What is your target fitness goal and ideal weight?

4. What are your specific training goals? Other:

5. Would you attend a presentation on specific training and nutrition?

6. How often do you participate in specific training programs each week?

7. Would you prefer individual or a group training session?

8. What are your specific training areas of interest?

Other:

9. How many times a week would you train if you have the opportunity?

10. Do you use nutritional supplements?

11. When selecting a nutritional product what is your #1 concern?

12. How often do you purchase nutritional supplements? Other:

13. What are your eating habits like?

14. What is your specific area of interest? Other:

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