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Age Gender Male Female Fitness level? 12 3 4 5 6 7 8 9 10

1. Tell us about yourself. Do you have a gym membership? YesNo Have you had a personal trainer before? YesNo Are you currently lifting weights? YesNo Are you currently doing cardiovascular training? YesNo

2. When is the best time to contact you? 6 AM       7 AM       8 AM       9 AM       10 AM 11 AM     12 PM     4 PM       5 PM       6 PM 7 PM       8 PM

How did you hear about us? Internet Television Radio Newspaper Friend Previous Client

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Or better yet just call 714-277-7757 and ask for Lyndsey!