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Training Questionnaire

TRAIN WITH MONIFA

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Monifa Maat is a certified fitness instructor and Corrective Exercise Specialist (National Academy of Sports Medicine). She is the wellness columnist for the Harlem News (New York City) and author of Bed Aerobics Fitness Flow: 18 Mind Body Exercises for Strength, Flexibility and Balance.

Monifa offers several group and private training options which include Group: BAFF (Bed Aerobics Fitness Flow) and MO Burn!Personal which include Restorative Fitnessand Mo Fit Body.

Complete the application below to be selected for an assessment with Monifa by phone.

First Name *

Last Name *

Email *

Phone *

What type of training are you interested in? *

What is your age? *

What is your height? *

What is your weight? *

Do you have any medical conditions? Please explain

What are the top 3 fitness goals you want to achieve this year? *

What is the BIGGEST obstacle holding you back from reaching your goals? *

On a scale of 1 to 5, how ready are you to invest your time, energy and financial resources to fitness goals?(1 being "not ready at all" to 5 being "very ready") *

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if you are selected for the consultation, what time of the day is best for Monifa and her team to call you? Please note, Monifa is on the East Coast time.