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Fitness Survey

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In order for us to serve you better we at Fitness 4 Home Superstore have designed a detailed questionnaire to help make sure we are providing you with the proper equipment and fitness advice for your specific needs so you can achieve your goals quickly and efficiently.

Please take a moment to fill out this survey, and simply click “submit” and one of our professional fitness consultants will contact you to make a personal appointment at one of our locations for your FREE "U-Fit" consultation.

Your information is confidential and will never be shared or sold.

Required fields are marked with *

 

 

First Name*
Last Name*
Email*
Day Phone
Home/Cell Phone
Address1
Address2
City
State*
Zip Code
How did you hear about us?
Why are you considering equipment for you home?


Please list the names, age and gender of the poeple who will use the equipment
What are your/their goals?



Other goals (if selected other above)
What physical limitations or health issues do you have, if any? (Ctrl-Click to select more than one)



Other limitations (if selected other above)
Have you asked your doctor if you may begin a fitness program?

What equipment do you own now?
Where do you train now?
I am specifically looking for the following equipment





Other Equipment (If selected above)
Describe the space you have for equipment. Please list dimensions and other items such as furniture in the room.
Would you like Fitness 4 Home to do an overhead cad room drawing for you? This drawing will show you what the equipment would look like in the room.

Please describe any equipment you've already tried but don't own. What did you like/not like about it?
How soon would you like to get started?




What is your budget?




Would you like to apply online with Wells Fargo for instant approval to receive 0% Interest Financing that you can use at any of our Valley locations? If so, you'll be presented with a link to apply after you submit this form.

Would you like a FREE fitness assessment with a FREE in home training session from Champions Fitness to help you get started with your purchase? (Minimum purchase required, ask for details)


Any Other Comments? THANK YOU for your time in completing this form.
Submit
*Required
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