YWCA New Britain
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Name
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Age
What is your primary goal?
Lose fat
Gain muscle
Lose weight
Gain weight
Tone
Increase strength
Improve performance
Get in shape
Get healthier
On a scale of 1 to 10, how committed are you to reaching your goal?
What have you recently tried in order to reach your goal?
Gym membership
Weight loss center
Group fitness
Personal training
Walking/running
A "fad" diet
Not much/nothing
Additional Comments
How did you hear about us?
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Social media
Friend
Event
Newspaper
Physical location
Flyer/mail piece
Other
What is your primary goal?
Lose fat
Gain muscle
Lose weight
Gain weight
Tone
Increase strength
Improve performance
Get in shape
Get healthier
What is your primary goal?
Lose fat
Gain muscle
Lose weight
Gain weight
Tone
Increase strength
Improve performance
Get in shape
Get healthier
What is your primary goal?
Lose fat
Gain muscle
Lose weight
Gain weight
Tone
Increase strength
Improve performance
Get in shape
Get healthier
What is your primary goal?
Lose fat
Gain muscle
Lose weight
Gain weight
Tone
Increase strength
Improve performance
Get in shape
Get healthier
Age
What is your primary goal?
Lose fat
Gain muscle
Lose weight
Gain weight
Tone
Increase strength
Improve performance
Get in shape
Get healthier
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YWhat’s Happening
YWCA Launches YWomenCount to Support the 2020 Census
#Empower2020 Wellness Challenge starts February 16
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