First Name
Last Name
Email
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Phone
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Are you local to the Tampa Bay area?
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Yes
No
How did you hear about Crossfit Westchase?
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What are your primary reasons for wanting to try our gym? (Check all that apply)
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Lose Weight
Tone Up
Enjoy Working Out
Increase Athleticism
Get Stronger
Build Muscle
Make Like Minded Friends
Mix Up Current Routine
Other
Are you currently working out 4 or more times per week?
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Yes
No
When is the last time you were excited to workout and why?
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Are you willing to commit the time, energy, and money to a consistent training program?
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Yes
No
I do, but I'm nervous
Anything else we should know before your first class?
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Any special requests?
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