First and Last Name                            :

Age (optional)                                    :

How did you heard about Body Balance:

What Classes  did you attend              :

Who was your Instructor                    :

Did you do Personal Training Sessions   :

Who was your trainer                          :

What were your goals                          :

What results did you have                   :

How long were you in classes or training:

How did coming to Body Balance change your lifestyle                                       :

Would you recommend Body Balance to others:

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