Audience of One Fitness Survey

Why should you complete this survey? This will help us identify the BEST customized plan for you!

1. What is your name? *

2. Phone *

3. Email *

4. How old are you? *

5. What is your current height & weight? *

6. What is your occupation (We want to know because we tailor our program around your lifestyle. In order for us to customize your plan - we need to know what you do)? *

7. On a Scale of 1-5, 5 being the best, how do you feel about your overall body and health? *

8. Have you ever worked with a personal trainer before? *

Yes

9. The ultimate outcome 12 months from now would be... *

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