Ideal You Fitness
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Physical Activity Readiness Questionnaire
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Complete the information below if you are interested in beginning training, or for additional information.
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Name
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First
Last
Street Address
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City
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State / Zip Code
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Phone #
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Email
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Preferred Method Of Contact
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Phone #
Email
CHECK ANY / ALL THAT APPLY:
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I prefer to work out ALONE
I prefer to work out with a FRIEND(S)
I prefer to work out in the MORNINGS
I prefer to work out in the EVENINGS
I can work out either MORNINGS OR EVENINGS
WHAT DAY(S) OF THE WEEK ARE YOU INTERESTED IN WORKING OUT?
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Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
I AM INTERESTED IN:
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General fitness / Toning
Weight Loss
Strength / flexibility
Pilates Reformer
Fitness Classes/ Group exercise
Suspension (TRX) Training
ADDITIONAL COMMENTS OR CONCERNS:
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