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Name: Age:

On the average I exercise ____ days per week I usually get my exercise by: ____ Running _____ miles ____ Walking _____ miles ____ Attending an exercise class that is ______ long ____ Working out to videos for _____ minutes/hours

I consider myself (choose one) ____Very out of shape ____Somewhat out of shape ____ Fairly fit, but can use some improvement ____Physically fit, but in need of incentive to stay that way

My goal in committing to this contest is to‌.

Are you willing to be a team captain? ______________________

Fitness Questionaire