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Natraj Fitness
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Intake form
Help us serve you better
Name
*
Email address
*
What are your fitness goals?
Please select at least one option.
Weight Loss
Muscle Gain
Increase Endurance
Improve Flexibility
General Fitness
How many times do you plan to work out per week?
Select
1-2 times
3-4 times
5-6 times
Every day
What type of workouts are you interested in?
Please select at least one option.
Strength Training
Cardio
Yoga
Pilates
HIIT
Group Classes
Have you exercised before?
Select
Yes
No
What is your preferred workout environment?
Select
Indoor Gym
Outdoor
Home
Group Setting
Do you have any medical conditions or injuries we should be aware of?
What is your age group?
Select
Under 18
18-25
26-35
36-45
46-55
56 and above
How did you hear about natraj fitness?
Select
Social Media
Friend/Family
Online Search
Advertisement
Which service or services are you interested in?
Please select at least one option.
Personal training
Group fitness classes
Nutrition coaching
Additional questions or comments
Submit
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