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Please answer the questions below so I’ll get a better understanding of your fitness and health goals.

Your Email Address

What is your gender?

Male
Female

What is your age group?

I am in my 20's
I am in my 30's
I am in my 40's
I am in my 50's
I am in my 60’s
I am in my 70’s or older

Are you a health professional?

Yes
No

Which health & fitness goal is MOST IMPORTANT to you right now?

Lose Weight/Fat or Get In Shape
Get Stronger or Build Muscle
Overcoming Current Injuries
Longevity, Safe Training and Energy

What pain or injury do you need help with? (choose one or more)

Neck Pain

Shoulder Pain

Elbow Pain

Wrist & Hand Pain

Back Pain

Hip Pain

Knee Pain

Foot & Ankle Pain

Do you have any health concerns? (choose one or more)

Do you have/are you concerned about Diabetes? (CHECK IF APPLIES)

Do you have/are you concerned about Alzheimer’s? (CHECK IF APPLIES)

Do you have/are you concerned about Heart Disease? (CHECK IF APPLIES)

Do you have/are you concerned about Muscle Pain? (CHECK IF APPLIES)

Do you have/are you concerned about Vision Health? (CHECK IF APPLIES)

Do you have/are you concerned about Joint Pain? (CHECK IF APPLIES)

Where do you live?

USA
Canada
Europe
Mexico
Central or South America
Australia or Surrounding Area
Asia or Africa