DON'T FALL INTO THE SUMMER SLUMP

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Fill Out This Quick Questionaire to Receive Your FREE 10 Day Detox Today!

Name*
First Last
Email*
Phone*
When do you prefer to workout?*
- AM
- PM

What helps you choose a gym?*
- Community
- Cost
- Availability
- Referral (by friends or family)
What gym are you currently attending/member?*
- LA Fitness
- Planet Fitness
- Lifetime
- Orange Theory
- Other
How important is it to have nutrition included in your membership?*
- Very important
- Somewhat important
- Neutral
- Somewhat unimportant
- Very unimportant

On a scale from 1-10 how important is accountability to you?*
Please enter a number from 1 to 10.
Do you go away for the summer?*
What is your gender?*
- Female
- Male
- Prefer not to answer

What is your age range?*
- 35-45
- 46-56
- 57-67
Which contract would you prefer?*
- 6 month
- 12 month
- Month to month
- NO contract
- Class package
What was the reason that you left your last gym?*

Fill out the form and we will tell you how to earn a 10 day pass!

DON'T FALL INTO THE SUMMER SLUMP

DOWNLOAD OUR
FREE 10 DAY DETOX TODAY

Fill Out This Quick Questionaire to Receive Your FREE 10 Day Detox Today!

Name*
First Last
Email*
Phone*
When do you prefer to workout?*
- AM
- PM

What helps you choose a gym?*
- Community
- Cost
- Availability
- Referral (by friends or family)
What gym are you currently attending/member?*
- LA Fitness
- Planet Fitness
- Lifetime
- Orange Theory
- Other
How important is it to have nutrition included in your membership?*
- Very important
- Somewhat important
- Neutral
- Somewhat unimportant
- Very unimportant

On a scale from 1-10 how important is accountability to you?*
Please enter a number from 1 to 10.
Do you go away for the summer?*
What is your gender?*
- Female
- Male
- Prefer not to answer

What is your age range?*
- 35-45
- 46-56
- 57-67
Which contract would you prefer?*
- 6 month
- 12 month
- Month to month
- NO contract
- Class package
What was the reason that you left your last gym?*

Fill out the form and we will tell you how to earn a 10 day pass!

JOin Us Today!

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Phone*
Email*

21 Day Challenge

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