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Welcome to Harlem Cycle!
Thank you for taking an interest at starting your wellness journey with Harlem Cycle and for taking a couple of minutes in filling out this form.
We have noticed over the years that doing this together gives our community much better results!
We look forward to seeing you in the studio and taking a more in-depth look at what we could achieve together!
See you soon!
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Email
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Your email
Name
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Your answer
Phone Number
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Your answer
Preferred Method of Communication
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Call
Text
Email
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The first and only question for us. How did you hear about us?
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Facebook
Instagram
Google
Other Client (Referral)
Harlem Cycle Instructor Referral
Other:
What do you want us to achieve together? What are your specific wellness and lifestyle goals?
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Your answer
What are you doing right now to reach your goals? How long do you realistically think it will take to achieve the goals you have in mind?
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Your answer
Everyone has the potential to lose focus or motivation towards their goals. What obstacles do you foresee standing in your way?
Stress
Time Management
Budget
Injury
Support System
Skill/Knowledge
Other:
Clear selection
How often would you like to come to Harlem Cycle to work on achieving your goals?
Once a week
Twice a week
Three times a week
Four or more times a week
1-2 times per month or less
Clear selection
What's your favorite time to work out?
Weekdays (Morning before 9am)
Weekdays (Midday 11-1pm)
Weekday (Evening after 5pm)
Weekends
Clear selection
Have you done cycling classes before ?
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Yes
No
Required
Who is in your support system? Who is going to keep you accountable and keep you going strong? If you are unsure, that is why we have created our incredibly supportive Care Team to provide encouragement, enthusiasm and accountability.
Your answer
In the past what has kept you from crushing your fitness/wellness goals?
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Your answer
Do you have aches and pains in any parts of your body? Do you hold stress or tension in any areas? Any injuries that we will need to be aware of?
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Your answer
Just one last question, if you can imagine what your life will look like when you achieve this goal, how will you feel? What will you do?
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Your answer
A copy of your responses will be emailed to the address you provided.
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