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User Survey
First Name:
Last Name:
Email Address:
Which entry best describes you?
Select One
Doctor
Teacher
Student
Other
How many times have you exercised this week?
Once.
Twice.
More than twice.
Never.
What are the exercises that you enjoy doing?
Check all that apply:
Jumping Jacks
Sit-ups
Jogging
Lifting weights
Please enter any general feedback you might have about the site: