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Take Your New member Fitness Quiz
First Name
Last Name
Age
Gender
Female
Male
Weight
Height
Occupation
Water Intake?
Sleeping Habits?
Current Workout Frequency
What Is Your Time Commitment?
Do you?:
smoke (and over the age of 35)
drink excessively (more than 1-2/day)
have poor sleeping habits (less than 8 hrs/night regularly)
Do you have diabetes?
Yes
No
Do you have a history of high blood pressure?
Yes
No
Do you have a family history of coronary disease prior to age 50?
Yes
No
Have you ever had?:
a heart attack
cardiac surgery
extreme chest discomfort
high blood pressure (over 140/90)
heart murmurs
ankle swelling
any vascular disease
unusual shortness of breath
fainting spells
asthma, emphysema, or bronchitis
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