Tell Us About Yourself
First Name:
Last Name:
Age:
Phone:
Cell:
Home:
Work:
What are your fitness goals?
Lose weight
Balance
Gain muscle
Flexibility
Pain relief
Dietary guidance
What type of exercise do you enjoy?
Walking
Dancing
Yoga
Running
Aerobics
Pilates
How many days per week can you work out?
1
2
3
4
5
6
7
What times are you available?
Bodies by Bender © 2006 | 113 West Main / Missoula, Montana 59802 | Phone: 406-728-4395
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