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VitalRoots
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Intake form
Help us serve you better
Name
*
Email address
*
What type of classes are you interested in?
Please select at least one option.
Pilates
Yoga
Strength Training
What is your fitness level?
Select
Beginner
Intermediate
Advanced
What dietary preferences do you have?
Please select at least one option.
Vegan
Vegetarian
Flexitarian
Gluten-Free
Are you interested in our membership packages?
Select
Yes
No
Maybe
What time of day do you prefer to attend classes?
Please select at least one option.
Morning
Afternoon
Evening
What types of food are you most interested in?
Please select at least one option.
Breakfast
Brunch
Snacks
Baked Goods
How did you hear about VitalRoots?
Select
Social Media
Friends/Family
Search Engine
Advertisement
What is your primary goal for joining our fitness studio?
Select
Weight Loss
Muscle Gain
Flexibility
Stress Relief
Overall Health
Additional questions or comments
Submit
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