General
Information
First
Name:
Last
Name:
Age:
Gender:
[ Please Select ]
Male
Female
Hometown:
What
is your primary fitness goal?
[ Please Select ]
Lose fat (weight
loss)
Build lean
muscle (bulk up)
Both
(drop fat/build lean muscle)
Please
make sure to enter a valid e-mail address below to
submit the information.
E-mail
Address:
How
did you find us?
If
you found us through a search engine, what were you searching
for?
Product/Service
Information
What
is the most important feature in an online membership you
would be willing to pay for?
[ Please Select ]
Diet/Exercise
Tracking Program
Meal Plans
Exercise Guides
Workout Routines
Weight Loss Recipes
What
product would you most be willing to purchase for mail delivery?
[ Please Select ]
Nutritional Supplements
Instructional
Workout DVD
Models of
the Month Calendar
Diet/Nutrition Manual
Training Manual
Do
you find the ShapeFit.com web site to be easy to navigate
through and user-friendly?
[ Please Select ]
Yes
No
What
supplement(s) do you currently take on a regular basis?
What
fitness information are you most interested in?
In
your opinion, how could the ShapeFit.com web site be improved?
What
products/services would you like to see added to ShapeFit.com?
Testimonials
If
ShapeFit.com has helped you learn more about health &
fitness, we would love to hear your testimonial!
Allow
your testimonial to be available for other visitors to review
on this site?
[ Please Select ]
Yes
No
