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Manchester Athletic Club
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I Need a Personal Trainer
The Basics
Title:
First Name:
Last Name:
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City:
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Information Requested
Choose one or all of these
(select all that apply)
 I want to Look Better
 I want to Feel Better
 I want to Compete Better
Would you like a male or female trainer?
(select all that apply)
 Male  Female  Either
Have you ever used a Personal Trainer before?
(select all that apply)
 Yes  No
On a scale of 1 (low) to 10 (high) how important is this to you? 1   2   3   4   5   6   7   8   9   10  
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