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Please select all that apply:

I would describe myself physically as:

Very fit (advanced athlete or exercise enthusiast).

Somewhat fit (intermediate or currently active in rigorous physical activity).

Not physically fit (new to exercise).

Disabled (challenged by physical limitations).

Normal Weight (BMI 18.5 - 24.9).

Underweight (BMI below 18.5).

Overweight (BMI of 25 - 29.9).

Obese (BMI of 30 or greater).

Extremely Obese (BMI of 40 or greater).

My current status can be described as:

I'm justifying poor choices and behavior (Pre-contemplation/ unwilling to accept help).

I'm ready to ask for help (Contemplating).

I'm researching (Preparing for positive life changes).

I'm ready for action (I'm ready to act now to change).

I'm happy with my results and need to maintain my lifestyle (Maintenance Phase).

I've relapsed (Back to old habits).

The best choice for me at this time may be:

I need a personal trainer (one-on-one physical fitness instruction).

I need a diet plan for myself or family.

I need advice on exercise equipment.

Commercial Interests:

We are interested in exploring software applications.

We need to update or recreate our website.

We have exercise equipment needs.

Interested in continuing education or certification.

Interested in CPR / AED / First Aid renewal or certification.

Other (Please Comment Below).

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