Shapes® Member Information Page First Name Last Name Email Address Best Phone Number Date of Birth How Did You Hear About Us? TVRadioDirect MailSocial MediaVal PakDrive ByFree PassReferralPhone BookGoogle SearchNewspaperPrint Advertisement Fitness History Have You Ever Been Involved In An Exercise Program? YesNo If Yes—Tell Us More How Long Have You Been Thinking About Starting An Exercise Program? Just Thought Of The IdeaFew WeeksFew MonthsFew YearsFor As Long As I Can Remember What Has Prevented You From Beginning or Continuing An Exercise Program In The Past? I Didn’t Have TimeFinancesI Felt UncomfortableLack of SupportJust Never Felt Like It In Which Are Would You Like To See The Most Improvement Muscle ToneEnduranceFlexibilityWeight LossStress ReliefAll Areas If You Could Change One Part of Your Physical Appearance What Would it Be? Peronal Information Are You: SingleMarriedDivorced Describe Your Stress Level: LowModerateHigh Do You Have Children? YesNo If Yes What Ages: How Many Days Will You Be Using The Facility? 1-23-45+ Tell Us Specifically Why You Stopped By Today?