{"id":1801,"date":"2025-01-08T21:11:22","date_gmt":"2025-01-08T21:11:22","guid":{"rendered":"https:\/\/bigdaddyfitness.com\/questionnaire-sur-la-sante-et-le-mode-de-vie\/"},"modified":"2025-01-15T21:54:12","modified_gmt":"2025-01-15T21:54:12","slug":"questionnaire-sur-la-sante-et-le-mode-de-vie","status":"publish","type":"page","link":"https:\/\/bigdaddyfitness.com\/fr\/questionnaire-sur-la-sante-et-le-mode-de-vie\/","title":{"rendered":"Questionnaire sur la sant\u00e9 et le mode de vie"},"content":{"rendered":"<div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container has-pattern-background has-mask-background nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form fusion-form-builder fusion-form-form-wrapper fusion-form-2282 has-icon-alignment\" style=\"--awb-tooltip-text-color:var(--awb-color1);--awb-tooltip-background-color:var(--awb-color8);--awb-field-margin-top:12px;--awb-field-margin-bottom:12px;--awb-form-input-height:52px;--awb-form-bg-color:var(--awb-color2);--awb-form-font-size:17px;--awb-form-placeholder-color:var(--awb-color6);--awb-form-text-color:var(--awb-color8);--awb-form-label-color:var(--awb-color1);--awb-form-border-width-top:0px;--awb-form-border-width-bottom:0px;--awb-form-border-width-right:0px;--awb-form-border-width-left:0px;--awb-form-border-color:var(--awb-color3);--awb-form-focus-border-color:var(--awb-color5);--awb-form-focus-border-hover-color:hsla(var(--awb-color5-h),var(--awb-color5-s),var(--awb-color5-l),calc(var(--awb-color5-a) - 50%));--awb-form-border-radius:30px;--awb-icon-alignment-top:0px;--awb-icon-alignment-bottom:0px;--awb-icon-alignment-font-size:17px;\" data-form-id=\"2282\" data-config=\"{&quot;form_id&quot;:2282,&quot;form_post_id&quot;:2282,&quot;post_id&quot;:1801,&quot;form_type&quot;:&quot;ajax&quot;,&quot;confirmation_type&quot;:&quot;message&quot;,&quot;redirect_url&quot;:&quot;&quot;,&quot;field_labels&quot;:{&quot;first_name&quot;:&quot;&quot;,&quot;last_name&quot;:&quot;&quot;,&quot;email&quot;:&quot;&quot;,&quot;phone_number&quot;:&quot;&quot;,&quot;date_of_birth&quot;:&quot;Date of birth&quot;,&quot;age&quot;:&quot;Age&quot;,&quot;age_you_feel&quot;:&quot;Age you feel&quot;,&quot;height&quot;:&quot;Height&quot;,&quot;weight&quot;:&quot;Weight&quot;,&quot;%_body_fat&quot;:&quot;% body fat&quot;,&quot;goals&quot;:&quot;Goals&quot;,&quot;time_frame&quot;:&quot;Time frame&quot;,&quot;how_many_times_a_week_train&quot;:&quot;How many times a week train&quot;,&quot;do_you_smoke&quot;:&quot;Do you smoke?&quot;,&quot;do_you_drink&quot;:&quot;Do you drink?&quot;,&quot;do_you_have_any_heart_conditions&quot;:&quot;Do you have any heart conditions?&quot;,&quot;have_you_ever_had_a_stroke_or_heart_attack&quot;:&quot;Have you ever had a stroke or heart attack?&quot;,&quot;do_you_ever_feel_faint_or_have_dizzy_spells&quot;:&quot;Do you ever feel faint or have dizzy spells?&quot;,&quot;have_you_had_surgery_in_the_last_year&quot;:&quot;Have you had surgery in the last year?&quot;,&quot;do_you_have_any_muscle_bone_or_joint_problem&quot;:&quot;Do you have any muscle, bone or joint problem?&quot;,&quot;are_you_taking_any_medications&quot;:&quot;Are you taking any medications?&quot;,&quot;are_you_taking_any_supplements&quot;:&quot;Are you taking any supplements?&quot;,&quot;check_any_of_the_following_that_apply_to_you&quot;:&quot;Check any of the following that apply to you&quot;,&quot;&quot;:&quot;Have you injured or have pain in the following areas? Check any of the following that apply to you.&quot;,&quot;my_job_stresses_me_out&quot;:&quot;My job stresses me out.&quot;,&quot;i_am_in_the_best_shape_of_my_life&quot;:&quot;I am in the best shape of my life.&quot;,&quot;i_am_serious_about_achieving_my_goals&quot;:&quot;I am serious about achieving my goals.&quot;,&quot;i_would_rate_my_current_physical_fitness&quot;:&quot;I would rate my current physical fitness.&quot;,&quot;how_many_hours_of_sleep&quot;:&quot;How many hours of sleep.&quot;,&quot;how_many_days_can_you_train&quot;:&quot;How many days can you train.&quot;,&quot;how_many_cups_of_water_do_you_drink_per_day_on_average_1_cup_=_1_glass&quot;:&quot;How many cups of water do you drink per day on average? (1 cup = 1 glass)&quot;,&quot;how_many_cups_of_cafeinated_beverages_do_you_drink_per_day_coffee_tea&quot;:&quot;How many cups of cafeinated beverages do you drink per day? (coffee, tea)&quot;,&quot;i_eat_in_response_to_stress&quot;:&quot;I eat in response to stress.&quot;,&quot;preferred_day&quot;:&quot;Preferred day&quot;,&quot;preferred_time&quot;:&quot;Preferred time&quot;},&quot;field_logics&quot;:{&quot;notice_1&quot;:&quot;&quot;,&quot;first_name&quot;:&quot;&quot;,&quot;last_name&quot;:&quot;&quot;,&quot;email&quot;:&quot;&quot;,&quot;phone_number&quot;:&quot;[]&quot;,&quot;date_of_birth&quot;:&quot;&quot;,&quot;age&quot;:&quot;&quot;,&quot;age_you_feel&quot;:&quot;&quot;,&quot;height&quot;:&quot;&quot;,&quot;weight&quot;:&quot;&quot;,&quot;%_body_fat&quot;:&quot;&quot;,&quot;goals&quot;:&quot;&quot;,&quot;time_frame&quot;:&quot;&quot;,&quot;how_many_times_a_week_train&quot;:&quot;&quot;,&quot;do_you_smoke&quot;:&quot;&quot;,&quot;do_you_drink&quot;:&quot;&quot;,&quot;do_you_have_any_heart_conditions&quot;:&quot;&quot;,&quot;have_you_ever_had_a_stroke_or_heart_attack&quot;:&quot;&quot;,&quot;do_you_ever_feel_faint_or_have_dizzy_spells&quot;:&quot;&quot;,&quot;have_you_had_surgery_in_the_last_year&quot;:&quot;&quot;,&quot;do_you_have_any_muscle_bone_or_joint_problem&quot;:&quot;&quot;,&quot;are_you_taking_any_medications&quot;:&quot;&quot;,&quot;are_you_taking_any_supplements&quot;:&quot;&quot;,&quot;check_any_of_the_following_that_apply_to_you&quot;:&quot;&quot;,&quot;&quot;:&quot;&quot;,&quot;my_job_stresses_me_out&quot;:&quot;&quot;,&quot;i_am_in_the_best_shape_of_my_life&quot;:&quot;&quot;,&quot;i_am_serious_about_achieving_my_goals&quot;:&quot;&quot;,&quot;i_would_rate_my_current_physical_fitness&quot;:&quot;&quot;,&quot;how_many_hours_of_sleep&quot;:&quot;&quot;,&quot;how_many_days_can_you_train&quot;:&quot;&quot;,&quot;how_many_cups_of_water_do_you_drink_per_day_on_average_1_cup_=_1_glass&quot;:&quot;&quot;,&quot;how_many_cups_of_cafeinated_beverages_do_you_drink_per_day_coffee_tea&quot;:&quot;&quot;,&quot;i_eat_in_response_to_stress&quot;:&quot;&quot;,&quot;preferred_day&quot;:&quot;&quot;,&quot;preferred_time&quot;:&quot;&quot;},&quot;field_types&quot;:{&quot;notice_1&quot;:&quot;notice&quot;,&quot;first_name&quot;:&quot;text&quot;,&quot;last_name&quot;:&quot;text&quot;,&quot;email&quot;:&quot;email&quot;,&quot;phone_number&quot;:&quot;phone_number&quot;,&quot;date_of_birth&quot;:&quot;text&quot;,&quot;age&quot;:&quot;text&quot;,&quot;age_you_feel&quot;:&quot;text&quot;,&quot;height&quot;:&quot;text&quot;,&quot;weight&quot;:&quot;text&quot;,&quot;%_body_fat&quot;:&quot;text&quot;,&quot;goals&quot;:&quot;text&quot;,&quot;time_frame&quot;:&quot;text&quot;,&quot;how_many_times_a_week_train&quot;:&quot;text&quot;,&quot;do_you_smoke&quot;:&quot;radio&quot;,&quot;do_you_drink&quot;:&quot;radio&quot;,&quot;do_you_have_any_heart_conditions&quot;:&quot;radio&quot;,&quot;have_you_ever_had_a_stroke_or_heart_attack&quot;:&quot;radio&quot;,&quot;do_you_ever_feel_faint_or_have_dizzy_spells&quot;:&quot;radio&quot;,&quot;have_you_had_surgery_in_the_last_year&quot;:&quot;radio&quot;,&quot;do_you_have_any_muscle_bone_or_joint_problem&quot;:&quot;radio&quot;,&quot;are_you_taking_any_medications&quot;:&quot;radio&quot;,&quot;are_you_taking_any_supplements&quot;:&quot;radio&quot;,&quot;check_any_of_the_following_that_apply_to_you&quot;:&quot;checkbox&quot;,&quot;&quot;:&quot;checkbox&quot;,&quot;my_job_stresses_me_out&quot;:&quot;radio&quot;,&quot;i_am_in_the_best_shape_of_my_life&quot;:&quot;radio&quot;,&quot;i_am_serious_about_achieving_my_goals&quot;:&quot;radio&quot;,&quot;i_would_rate_my_current_physical_fitness&quot;:&quot;radio&quot;,&quot;how_many_hours_of_sleep&quot;:&quot;radio&quot;,&quot;how_many_days_can_you_train&quot;:&quot;radio&quot;,&quot;how_many_cups_of_water_do_you_drink_per_day_on_average_1_cup_=_1_glass&quot;:&quot;radio&quot;,&quot;how_many_cups_of_cafeinated_beverages_do_you_drink_per_day_coffee_tea&quot;:&quot;radio&quot;,&quot;i_eat_in_response_to_stress&quot;:&quot;radio&quot;,&quot;preferred_day&quot;:&quot;radio&quot;,&quot;preferred_time&quot;:&quot;radio&quot;,&quot;submit_1&quot;:&quot;submit&quot;,&quot;recaptcha_1&quot;:&quot;recaptcha&quot;},&quot;nonce_method&quot;:&quot;ajax&quot;}\"><form action=\"https:\/\/bigdaddyfitness.com\/fr\/questionnaire-sur-la-sante-et-le-mode-de-vie\/\" method=\"post\" class=\"fusion-form fusion-form-2282\"><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1-1 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-right:0px;--awb-padding-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-justify-content-center fusion-flex-content-wrap\" style=\"width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-1 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"form-submission-notices data-notice_1\" id=\"fusion-notices-1\"><div class=\"fusion-alert alert success alert-success fusion-alert-center fusion-form-response fusion-form-response-success awb-alert-native-link-color alert-dismissable awb-alert-close-boxed\" role=\"alert\"><div class=\"fusion-alert-content-wrapper\"><span class=\"alert-icon\"><i class=\"awb-icon-check-circle\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-alert-content\">Thank you for 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It has been sent.<\/span><\/div><button type=\"button\" class=\"close toggle-alert\" data-dismiss=\"alert\" aria-label=\"Close\">&times;<\/button><\/div><div class=\"fusion-alert alert error alert-danger fusion-alert-center fusion-form-response fusion-form-response-error awb-alert-native-link-color alert-dismissable awb-alert-close-boxed\" role=\"alert\"><div class=\"fusion-alert-content-wrapper\"><span class=\"alert-icon\"><i class=\"awb-icon-exclamation-triangle\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-alert-content\">There was an error trying to send your message. Please try again later.<\/span><\/div><button type=\"button\" class=\"close toggle-alert\" data-dismiss=\"alert\" aria-label=\"Close\">&times;<\/button><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-2 fusion_builder_column_1_3 1_3 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:33.333333333333%;--awb-margin-top-large:0px;--awb-spacing-right-large:5.76%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:5.76%;--awb-width-medium:33.333333333333%;--awb-order-medium:0;--awb-spacing-right-medium:5.76%;--awb-spacing-left-medium:5.76%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-1 fusion-sep-none fusion-title-text fusion-title-size-four\" style=\"--awb-text-color:var(--awb-color1);--awb-margin-top:6px;--awb-margin-bottom:4px;\"><h4 class=\"fusion-title-heading title-heading-left\" style=\"margin:0;\">Tell us about yourself<\/h4><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-3 fusion_builder_column_2_3 2_3 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:66.666666666667%;--awb-margin-top-large:0px;--awb-spacing-right-large:2.88%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:2.88%;--awb-width-medium:66.666666666667%;--awb-order-medium:0;--awb-spacing-right-medium:2.88%;--awb-spacing-left-medium:2.88%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row fusion-flex-align-items-flex-start fusion-flex-justify-content-center fusion-flex-content-wrap\" style=\"width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-0 fusion_builder_column_inner_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-margin-top-large:0px;--awb-spacing-right-large:3.84%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:3.84%;--awb-width-medium:50%;--awb-order-medium:0;--awb-spacing-right-medium:3.84%;--awb-spacing-left-medium:3.84%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-2 fusion-sep-none fusion-title-text fusion-title-size-div\" style=\"--awb-text-color:var(--awb-color1);--awb-margin-bottom:0px;--awb-font-size:var(--awb-typography3-font-size);\"><div class=\"fusion-title-heading title-heading-left title-heading-tag\" style=\"font-family:var(--awb-typography3-font-family);font-weight:var(--awb-typography3-font-weight);font-style:var(--awb-typography3-font-style);margin:0;font-size:1em;letter-spacing:var(--awb-typography3-letter-spacing);text-transform:var(--awb-typography3-text-transform);line-height:var(--awb-typography3-line-height);\">First Name<\/div><\/div><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"2282\"><input type=\"text\" name=\"first_name\" id=\"first_name\" value=\"\"  class=\"fusion-form-input\" placeholder=\"John \" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-1 fusion_builder_column_inner_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-margin-top-large:0px;--awb-spacing-right-large:3.84%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:3.84%;--awb-width-medium:50%;--awb-order-medium:0;--awb-spacing-right-medium:3.84%;--awb-spacing-left-medium:3.84%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-3 fusion-sep-none fusion-title-text fusion-title-size-div\" style=\"--awb-text-color:var(--awb-color1);--awb-margin-bottom:0px;--awb-font-size:var(--awb-typography3-font-size);\"><div class=\"fusion-title-heading title-heading-left title-heading-tag\" style=\"font-family:var(--awb-typography3-font-family);font-weight:var(--awb-typography3-font-weight);font-style:var(--awb-typography3-font-style);margin:0;font-size:1em;letter-spacing:var(--awb-typography3-letter-spacing);text-transform:var(--awb-typography3-text-transform);line-height:var(--awb-typography3-line-height);\">Last Name<\/div><\/div><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"2282\"><input type=\"text\" name=\"last_name\" id=\"last_name\" value=\"\"  class=\"fusion-form-input\" placeholder=\"Smith \" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-2 fusion_builder_column_inner_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-4 fusion-sep-none fusion-title-text fusion-title-size-div\" style=\"--awb-text-color:var(--awb-color1);--awb-margin-bottom:0px;--awb-font-size:var(--awb-typography3-font-size);\"><div class=\"fusion-title-heading title-heading-left title-heading-tag\" style=\"font-family:var(--awb-typography3-font-family);font-weight:var(--awb-typography3-font-weight);font-style:var(--awb-typography3-font-style);margin:0;font-size:1em;letter-spacing:var(--awb-typography3-letter-spacing);text-transform:var(--awb-typography3-text-transform);line-height:var(--awb-typography3-line-height);\">Email Address<\/div><\/div><div class=\"fusion-form-field fusion-form-email-field fusion-form-label-above\" style=\"\" data-form-id=\"2282\"><input type=\"email\" name=\"email\" id=\"email\" value=\"\"  class=\"fusion-form-input\" placeholder=\"info@company.com \" data-holds-private-data=\"false\"\/><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-3 fusion_builder_column_inner_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-5 fusion-sep-none fusion-title-text fusion-title-size-div\" style=\"--awb-text-color:var(--awb-color1);--awb-margin-bottom:0px;--awb-font-size:var(--awb-typography3-font-size);\"><div class=\"fusion-title-heading title-heading-left title-heading-tag\" style=\"font-family:var(--awb-typography3-font-family);font-weight:var(--awb-typography3-font-weight);font-style:var(--awb-typography3-font-style);margin:0;font-size:1em;letter-spacing:var(--awb-typography3-letter-spacing);text-transform:var(--awb-typography3-text-transform);line-height:var(--awb-typography3-line-height);\">Phone Number<\/div><\/div><div class=\"fusion-form-field fusion-form-phone-number-field fusion-form-label-above\" style=\"\" data-form-id=\"2282\"><div class=\"fusion-form-input-with-icon\"><i class=\"awb-form-icon fa-mobile-alt fas\"><\/i><input type=\"tel\" name=\"phone_number\" id=\"phone_number\" value=\"\"  class=\"fusion-form-input\" placeholder=\"+123-456-7890 \" data-holds-private-data=\"false\"\/><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-4 fusion_builder_column_inner_1_3 1_3 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:33.333333333333%;--awb-margin-top-large:0px;--awb-spacing-right-large:5.76%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:5.76%;--awb-width-medium:33.333333333333%;--awb-order-medium:0;--awb-spacing-right-medium:5.76%;--awb-spacing-left-medium:5.76%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"2282\"><div class=\"fusion-form-label-wrapper\"><label for=\"date_of_birth\">Date of birth<\/label><\/div><input type=\"text\" name=\"date_of_birth\" id=\"date_of_birth\" value=\"aaaa-mm-dd\"  class=\"fusion-form-input\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-5 fusion_builder_column_inner_1_3 1_3 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:33.333333333333%;--awb-margin-top-large:0px;--awb-spacing-right-large:5.76%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:5.76%;--awb-width-medium:33.333333333333%;--awb-order-medium:0;--awb-spacing-right-medium:5.76%;--awb-spacing-left-medium:5.76%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"2282\"><div class=\"fusion-form-label-wrapper\"><label for=\"age\">Age<\/label><\/div><input type=\"text\" name=\"age\" id=\"age\" value=\"-\"  class=\"fusion-form-input\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-6 fusion_builder_column_inner_1_3 1_3 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:33.333333333333%;--awb-margin-top-large:0px;--awb-spacing-right-large:5.76%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:5.76%;--awb-width-medium:33.333333333333%;--awb-order-medium:0;--awb-spacing-right-medium:5.76%;--awb-spacing-left-medium:5.76%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"2282\"><div class=\"fusion-form-label-wrapper\"><label for=\"age_you_feel\">Age you feel<\/label><\/div><input type=\"text\" name=\"age_you_feel\" id=\"age_you_feel\" value=\"-\"  class=\"fusion-form-input\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-7 fusion_builder_column_inner_1_3 1_3 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:33.333333333333%;--awb-margin-top-large:0px;--awb-spacing-right-large:5.76%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:5.76%;--awb-width-medium:33.333333333333%;--awb-order-medium:0;--awb-spacing-right-medium:5.76%;--awb-spacing-left-medium:5.76%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"2282\"><div class=\"fusion-form-label-wrapper\"><label for=\"height\">Height<\/label><\/div><input type=\"text\" name=\"height\" id=\"height\" value=\"-\"  class=\"fusion-form-input\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-8 fusion_builder_column_inner_1_3 1_3 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:33.333333333333%;--awb-margin-top-large:0px;--awb-spacing-right-large:5.76%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:5.76%;--awb-width-medium:33.333333333333%;--awb-order-medium:0;--awb-spacing-right-medium:5.76%;--awb-spacing-left-medium:5.76%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"2282\"><div class=\"fusion-form-label-wrapper\"><label for=\"weight\">Weight<\/label><\/div><input type=\"text\" name=\"weight\" id=\"weight\" value=\"-\"  class=\"fusion-form-input\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-9 fusion_builder_column_inner_1_3 1_3 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:33.333333333333%;--awb-margin-top-large:0px;--awb-spacing-right-large:5.76%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:5.76%;--awb-width-medium:33.333333333333%;--awb-order-medium:0;--awb-spacing-right-medium:5.76%;--awb-spacing-left-medium:5.76%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"2282\"><div class=\"fusion-form-label-wrapper\"><label for=\"%_body_fat\">% body fat<\/label><\/div><input type=\"text\" name=\"%_body_fat\" id=\"%_body_fat\" value=\"-\"  class=\"fusion-form-input\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-10 fusion_builder_column_inner_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"2282\"><div class=\"fusion-form-label-wrapper\"><label for=\"goals\">Goals<\/label><\/div><input type=\"text\" name=\"goals\" id=\"goals\" value=\"-\"  class=\"fusion-form-input\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-11 fusion_builder_column_inner_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"2282\"><div class=\"fusion-form-label-wrapper\"><label for=\"time_frame\">Time frame<\/label><\/div><input type=\"text\" name=\"time_frame\" id=\"time_frame\" value=\"-\"  class=\"fusion-form-input\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-12 fusion_builder_column_inner_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"2282\"><div class=\"fusion-form-label-wrapper\"><label for=\"how_many_times_a_week_train\">How many times a week train<\/label><\/div><input type=\"text\" name=\"how_many_times_a_week_train\" id=\"how_many_times_a_week_train\" value=\"-\"  class=\"fusion-form-input\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-4 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-bottom:36px;width:100%;\"><div class=\"fusion-separator-border sep-single sep-solid\" style=\"--awb-height:20px;--awb-amount:20px;border-color:var(--awb-color3);border-top-width:1px;\"><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-5 fusion_builder_column_1_3 1_3 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:33.333333333333%;--awb-margin-top-large:0px;--awb-spacing-right-large:5.76%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:5.76%;--awb-width-medium:33.333333333333%;--awb-order-medium:0;--awb-spacing-right-medium:5.76%;--awb-spacing-left-medium:5.76%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-6 fusion-sep-none fusion-title-text fusion-title-size-four\" style=\"--awb-text-color:var(--awb-color1);--awb-margin-top:6px;--awb-margin-bottom:4px;\"><h4 class=\"fusion-title-heading title-heading-left\" style=\"margin:0;\">Questionnaire<\/h4><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-6 fusion_builder_column_2_3 2_3 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:66.666666666667%;--awb-margin-top-large:0px;--awb-spacing-right-large:2.88%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:2.88%;--awb-width-medium:66.666666666667%;--awb-order-medium:0;--awb-spacing-right-medium:2.88%;--awb-spacing-left-medium:2.88%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row fusion-flex-align-items-flex-start fusion-flex-justify-content-center fusion-flex-content-wrap\" style=\"width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-13 fusion_builder_column_inner_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-radio-field fusion-form-label-above\" style=\"\" data-form-id=\"2282\"><div class=\"fusion-form-label-wrapper\"><span class=\"label\">Do you smoke?<\/span><\/div><fieldset><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-do_you_smoke-1-0\" type=\"radio\" value=\"Yes\" name=\"do_you_smoke\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-do_you_smoke-1-0\">Yes<\/label><\/div><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-do_you_smoke-1-1\" type=\"radio\" value=\"No\" name=\"do_you_smoke\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-do_you_smoke-1-1\">No<\/label><\/div><\/fieldset><\/div><div class=\"fusion-form-field fusion-form-radio-field fusion-form-label-above\" style=\"\" data-form-id=\"2282\"><div class=\"fusion-form-label-wrapper\"><span class=\"label\">Do you drink?<\/span><\/div><fieldset><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-do_you_drink-2-0\" type=\"radio\" value=\"Yes\" name=\"do_you_drink\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-do_you_drink-2-0\">Yes<\/label><\/div><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-do_you_drink-2-1\" type=\"radio\" value=\"No\" name=\"do_you_drink\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-do_you_drink-2-1\">No<\/label><\/div><\/fieldset><\/div><div class=\"fusion-form-field fusion-form-radio-field fusion-form-label-above\" style=\"\" data-form-id=\"2282\"><div class=\"fusion-form-label-wrapper\"><span class=\"label\">Do you have any heart conditions?<\/span><\/div><fieldset><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-do_you_have_any_heart_conditions-3-0\" type=\"radio\" value=\"Yes\" name=\"do_you_have_any_heart_conditions\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-do_you_have_any_heart_conditions-3-0\">Yes<\/label><\/div><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-do_you_have_any_heart_conditions-3-1\" type=\"radio\" value=\"No\" name=\"do_you_have_any_heart_conditions\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-do_you_have_any_heart_conditions-3-1\">No<\/label><\/div><\/fieldset><\/div><div class=\"fusion-form-field fusion-form-radio-field fusion-form-label-above\" style=\"\" data-form-id=\"2282\"><div class=\"fusion-form-label-wrapper\"><span class=\"label\">Have you ever had a stroke or heart attack?<\/span><\/div><fieldset><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-have_you_ever_had_a_stroke_or_heart_attack-4-0\" type=\"radio\" value=\"Yes\" name=\"have_you_ever_had_a_stroke_or_heart_attack\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-have_you_ever_had_a_stroke_or_heart_attack-4-0\">Yes<\/label><\/div><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-have_you_ever_had_a_stroke_or_heart_attack-4-1\" type=\"radio\" value=\"No\" name=\"have_you_ever_had_a_stroke_or_heart_attack\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-have_you_ever_had_a_stroke_or_heart_attack-4-1\">No<\/label><\/div><\/fieldset><\/div><div class=\"fusion-form-field fusion-form-radio-field fusion-form-label-above\" style=\"\" data-form-id=\"2282\"><div class=\"fusion-form-label-wrapper\"><span class=\"label\">Do you ever feel faint or have dizzy spells?<\/span><\/div><fieldset><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-do_you_ever_feel_faint_or_have_dizzy_spells-5-0\" type=\"radio\" value=\"Yes\" name=\"do_you_ever_feel_faint_or_have_dizzy_spells\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-do_you_ever_feel_faint_or_have_dizzy_spells-5-0\">Yes<\/label><\/div><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-do_you_ever_feel_faint_or_have_dizzy_spells-5-1\" type=\"radio\" value=\"No\" name=\"do_you_ever_feel_faint_or_have_dizzy_spells\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-do_you_ever_feel_faint_or_have_dizzy_spells-5-1\">No<\/label><\/div><\/fieldset><\/div><div class=\"fusion-form-field fusion-form-radio-field fusion-form-label-above\" style=\"\" data-form-id=\"2282\"><div class=\"fusion-form-label-wrapper\"><span class=\"label\">Have you had surgery in the last year?<\/span><\/div><fieldset><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-have_you_had_surgery_in_the_last_year-6-0\" type=\"radio\" value=\"Yes\" name=\"have_you_had_surgery_in_the_last_year\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-have_you_had_surgery_in_the_last_year-6-0\">Yes<\/label><\/div><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-have_you_had_surgery_in_the_last_year-6-1\" type=\"radio\" value=\"No\" name=\"have_you_had_surgery_in_the_last_year\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-have_you_had_surgery_in_the_last_year-6-1\">No<\/label><\/div><\/fieldset><\/div><div class=\"fusion-form-field fusion-form-radio-field fusion-form-label-above\" style=\"\" data-form-id=\"2282\"><div class=\"fusion-form-label-wrapper\"><span class=\"label\">Do you have any muscle, bone or joint problem?<\/span><\/div><fieldset><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-do_you_have_any_muscle_bone_or_joint_problem-7-0\" type=\"radio\" value=\"Yes\" name=\"do_you_have_any_muscle_bone_or_joint_problem\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-do_you_have_any_muscle_bone_or_joint_problem-7-0\">Yes<\/label><\/div><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-do_you_have_any_muscle_bone_or_joint_problem-7-1\" type=\"radio\" value=\"No\" name=\"do_you_have_any_muscle_bone_or_joint_problem\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-do_you_have_any_muscle_bone_or_joint_problem-7-1\">No<\/label><\/div><\/fieldset><\/div><div class=\"fusion-form-field fusion-form-radio-field fusion-form-label-above\" style=\"\" data-form-id=\"2282\"><div class=\"fusion-form-label-wrapper\"><span class=\"label\">Are you taking any medications?<\/span><\/div><fieldset><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-are_you_taking_any_medications-8-0\" type=\"radio\" value=\"Yes\" name=\"are_you_taking_any_medications\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-are_you_taking_any_medications-8-0\">Yes<\/label><\/div><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-are_you_taking_any_medications-8-1\" type=\"radio\" value=\"No\" name=\"are_you_taking_any_medications\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-are_you_taking_any_medications-8-1\">No<\/label><\/div><\/fieldset><\/div><div class=\"fusion-form-field fusion-form-radio-field fusion-form-label-above\" style=\"\" data-form-id=\"2282\"><div class=\"fusion-form-label-wrapper\"><span class=\"label\">Are you taking any supplements?<\/span><\/div><fieldset><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-are_you_taking_any_supplements-9-0\" type=\"radio\" value=\"Yes\" name=\"are_you_taking_any_supplements\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-are_you_taking_any_supplements-9-0\">Yes<\/label><\/div><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-are_you_taking_any_supplements-9-1\" type=\"radio\" value=\"No\" name=\"are_you_taking_any_supplements\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-are_you_taking_any_supplements-9-1\">No<\/label><\/div><\/fieldset><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-14 fusion_builder_column_inner_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-margin-top-large:0px;--awb-spacing-right-large:3.84%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:3.84%;--awb-width-medium:50%;--awb-order-medium:0;--awb-spacing-right-medium:3.84%;--awb-spacing-left-medium:3.84%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-checkbox-field fusion-form-label-above\" style=\"\" data-form-id=\"2282\"><div class=\"fusion-form-label-wrapper\"><span class=\"label\">Check any of the following that apply to you<\/span><\/div><fieldset><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-check_any_of_the_following_that_apply_to_you-1-0\" type=\"checkbox\" value=\"Diabetes\" name=\"check_any_of_the_following_that_apply_to_you[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-check_any_of_the_following_that_apply_to_you-1-0\">Diabetes<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-check_any_of_the_following_that_apply_to_you-1-1\" type=\"checkbox\" value=\"High Cholesterol\" name=\"check_any_of_the_following_that_apply_to_you[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-check_any_of_the_following_that_apply_to_you-1-1\">High Cholesterol<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-check_any_of_the_following_that_apply_to_you-1-2\" type=\"checkbox\" value=\"High blood pressure\" name=\"check_any_of_the_following_that_apply_to_you[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-check_any_of_the_following_that_apply_to_you-1-2\">High blood pressure<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-check_any_of_the_following_that_apply_to_you-1-3\" type=\"checkbox\" value=\"Heart Disease\" name=\"check_any_of_the_following_that_apply_to_you[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-check_any_of_the_following_that_apply_to_you-1-3\">Heart Disease<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-check_any_of_the_following_that_apply_to_you-1-4\" type=\"checkbox\" value=\"Back Pain\" name=\"check_any_of_the_following_that_apply_to_you[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-check_any_of_the_following_that_apply_to_you-1-4\">Back Pain<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-check_any_of_the_following_that_apply_to_you-1-5\" type=\"checkbox\" value=\"Arthritis\" name=\"check_any_of_the_following_that_apply_to_you[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-check_any_of_the_following_that_apply_to_you-1-5\">Arthritis<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-check_any_of_the_following_that_apply_to_you-1-6\" type=\"checkbox\" value=\"Asthma\" name=\"check_any_of_the_following_that_apply_to_you[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-check_any_of_the_following_that_apply_to_you-1-6\">Asthma<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-check_any_of_the_following_that_apply_to_you-1-7\" type=\"checkbox\" value=\"Thyroid\" name=\"check_any_of_the_following_that_apply_to_you[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-check_any_of_the_following_that_apply_to_you-1-7\">Thyroid<\/label><\/div><\/fieldset><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-15 fusion_builder_column_inner_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-margin-top-large:0px;--awb-spacing-right-large:3.84%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:3.84%;--awb-width-medium:50%;--awb-order-medium:0;--awb-spacing-right-medium:3.84%;--awb-spacing-left-medium:3.84%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-checkbox-field fusion-form-label-above\" style=\"\" data-form-id=\"2282\"><div class=\"fusion-form-label-wrapper\"><span class=\"label\">Have you injured or have pain in the following areas? Check any of the following that apply to you.<\/span><\/div><fieldset><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-have-you-injured-or-have-pain-in-the-following-areas?-check-any-of-the-following-that-apply-to-you.-2-0\" type=\"checkbox\" value=\"Neck\" name=\"Have you injured or have pain in the following areas? Check any of the following that apply to you.[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-have-you-injured-or-have-pain-in-the-following-areas?-check-any-of-the-following-that-apply-to-you.-2-0\">Neck<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-have-you-injured-or-have-pain-in-the-following-areas?-check-any-of-the-following-that-apply-to-you.-2-1\" type=\"checkbox\" value=\"Shoulder\" name=\"Have you injured or have pain in the following areas? Check any of the following that apply to you.[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-have-you-injured-or-have-pain-in-the-following-areas?-check-any-of-the-following-that-apply-to-you.-2-1\">Shoulder<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-have-you-injured-or-have-pain-in-the-following-areas?-check-any-of-the-following-that-apply-to-you.-2-2\" type=\"checkbox\" value=\"Lower Back\" name=\"Have you injured or have pain in the following areas? Check any of the following that apply to you.[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-have-you-injured-or-have-pain-in-the-following-areas?-check-any-of-the-following-that-apply-to-you.-2-2\">Lower Back<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-have-you-injured-or-have-pain-in-the-following-areas?-check-any-of-the-following-that-apply-to-you.-2-3\" type=\"checkbox\" value=\"Upper Back\" name=\"Have you injured or have pain in the following areas? Check any of the following that apply to you.[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-have-you-injured-or-have-pain-in-the-following-areas?-check-any-of-the-following-that-apply-to-you.-2-3\">Upper Back<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-have-you-injured-or-have-pain-in-the-following-areas?-check-any-of-the-following-that-apply-to-you.-2-4\" type=\"checkbox\" value=\"Hips\" name=\"Have you injured or have pain in the following areas? Check any of the following that apply to you.[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-have-you-injured-or-have-pain-in-the-following-areas?-check-any-of-the-following-that-apply-to-you.-2-4\">Hips<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-have-you-injured-or-have-pain-in-the-following-areas?-check-any-of-the-following-that-apply-to-you.-2-5\" type=\"checkbox\" value=\"Elbows\" name=\"Have you injured or have pain in the following areas? Check any of the following that apply to you.[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-have-you-injured-or-have-pain-in-the-following-areas?-check-any-of-the-following-that-apply-to-you.-2-5\">Elbows<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-have-you-injured-or-have-pain-in-the-following-areas?-check-any-of-the-following-that-apply-to-you.-2-6\" type=\"checkbox\" value=\"Wrists\" name=\"Have you injured or have pain in the following areas? Check any of the following that apply to you.[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-have-you-injured-or-have-pain-in-the-following-areas?-check-any-of-the-following-that-apply-to-you.-2-6\">Wrists<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-have-you-injured-or-have-pain-in-the-following-areas?-check-any-of-the-following-that-apply-to-you.-2-7\" type=\"checkbox\" value=\"Knees\" name=\"Have you injured or have pain in the following areas? Check any of the following that apply to you.[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-have-you-injured-or-have-pain-in-the-following-areas?-check-any-of-the-following-that-apply-to-you.-2-7\">Knees<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-have-you-injured-or-have-pain-in-the-following-areas?-check-any-of-the-following-that-apply-to-you.-2-8\" type=\"checkbox\" value=\"Other\" name=\"Have you injured or have pain in the following areas? Check any of the following that apply to you.[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-have-you-injured-or-have-pain-in-the-following-areas?-check-any-of-the-following-that-apply-to-you.-2-8\">Other<\/label><\/div><\/fieldset><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-16 fusion_builder_column_inner_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-radio-field fusion-form-label-above\" style=\"\" data-form-id=\"2282\"><div class=\"fusion-form-label-wrapper\"><span class=\"label\">My job stresses me out.<\/span><\/div><fieldset><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-my_job_stresses_me_out-10-0\" type=\"radio\" value=\"1\" name=\"my_job_stresses_me_out\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-my_job_stresses_me_out-10-0\">1<\/label><\/div><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-my_job_stresses_me_out-10-1\" type=\"radio\" value=\"2\" name=\"my_job_stresses_me_out\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-my_job_stresses_me_out-10-1\">2<\/label><\/div><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-my_job_stresses_me_out-10-2\" type=\"radio\" value=\"3\" name=\"my_job_stresses_me_out\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-my_job_stresses_me_out-10-2\">3<\/label><\/div><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-my_job_stresses_me_out-10-3\" type=\"radio\" value=\"4\" name=\"my_job_stresses_me_out\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-my_job_stresses_me_out-10-3\">4<\/label><\/div><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-my_job_stresses_me_out-10-4\" type=\"radio\" value=\"5\" name=\"my_job_stresses_me_out\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-my_job_stresses_me_out-10-4\">5<\/label><\/div><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-my_job_stresses_me_out-10-5\" type=\"radio\" value=\"6\" name=\"my_job_stresses_me_out\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-my_job_stresses_me_out-10-5\">6<\/label><\/div><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-my_job_stresses_me_out-10-6\" type=\"radio\" value=\"7\" name=\"my_job_stresses_me_out\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-my_job_stresses_me_out-10-6\">7<\/label><\/div><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-my_job_stresses_me_out-10-7\" type=\"radio\" value=\"8\" name=\"my_job_stresses_me_out\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-my_job_stresses_me_out-10-7\">8<\/label><\/div><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-my_job_stresses_me_out-10-8\" type=\"radio\" value=\"9\" name=\"my_job_stresses_me_out\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-my_job_stresses_me_out-10-8\">9<\/label><\/div><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-my_job_stresses_me_out-10-9\" type=\"radio\" value=\"10\" name=\"my_job_stresses_me_out\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-my_job_stresses_me_out-10-9\">10<\/label><\/div><\/fieldset><\/div><div class=\"fusion-form-field fusion-form-radio-field fusion-form-label-above\" style=\"\" data-form-id=\"2282\"><div class=\"fusion-form-label-wrapper\"><span class=\"label\">I am in the best shape of my life.<\/span><\/div><fieldset><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-i_am_in_the_best_shape_of_my_life-11-0\" type=\"radio\" value=\"1\" name=\"i_am_in_the_best_shape_of_my_life\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-i_am_in_the_best_shape_of_my_life-11-0\">1<\/label><\/div><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-i_am_in_the_best_shape_of_my_life-11-1\" type=\"radio\" value=\"2\" name=\"i_am_in_the_best_shape_of_my_life\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-i_am_in_the_best_shape_of_my_life-11-1\">2<\/label><\/div><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-i_am_in_the_best_shape_of_my_life-11-2\" type=\"radio\" value=\"3\" name=\"i_am_in_the_best_shape_of_my_life\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-i_am_in_the_best_shape_of_my_life-11-2\">3<\/label><\/div><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-i_am_in_the_best_shape_of_my_life-11-3\" type=\"radio\" value=\"4\" name=\"i_am_in_the_best_shape_of_my_life\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-i_am_in_the_best_shape_of_my_life-11-3\">4<\/label><\/div><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-i_am_in_the_best_shape_of_my_life-11-4\" type=\"radio\" value=\"5\" name=\"i_am_in_the_best_shape_of_my_life\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-i_am_in_the_best_shape_of_my_life-11-4\">5<\/label><\/div><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-i_am_in_the_best_shape_of_my_life-11-5\" type=\"radio\" value=\"6\" name=\"i_am_in_the_best_shape_of_my_life\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-i_am_in_the_best_shape_of_my_life-11-5\">6<\/label><\/div><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-i_am_in_the_best_shape_of_my_life-11-6\" type=\"radio\" value=\"7\" name=\"i_am_in_the_best_shape_of_my_life\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-i_am_in_the_best_shape_of_my_life-11-6\">7<\/label><\/div><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-i_am_in_the_best_shape_of_my_life-11-7\" type=\"radio\" value=\"8\" name=\"i_am_in_the_best_shape_of_my_life\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-i_am_in_the_best_shape_of_my_life-11-7\">8<\/label><\/div><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-i_am_in_the_best_shape_of_my_life-11-8\" type=\"radio\" value=\"9\" name=\"i_am_in_the_best_shape_of_my_life\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-i_am_in_the_best_shape_of_my_life-11-8\">9<\/label><\/div><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-i_am_in_the_best_shape_of_my_life-11-9\" type=\"radio\" value=\"10\" name=\"i_am_in_the_best_shape_of_my_life\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-i_am_in_the_best_shape_of_my_life-11-9\">10<\/label><\/div><\/fieldset><\/div><div class=\"fusion-form-field fusion-form-radio-field fusion-form-label-above\" style=\"\" data-form-id=\"2282\"><div class=\"fusion-form-label-wrapper\"><span class=\"label\">I am serious about achieving my goals.<\/span><\/div><fieldset><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-i_am_serious_about_achieving_my_goals-12-0\" type=\"radio\" value=\"1\" name=\"i_am_serious_about_achieving_my_goals\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-i_am_serious_about_achieving_my_goals-12-0\">1<\/label><\/div><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-i_am_serious_about_achieving_my_goals-12-1\" type=\"radio\" value=\"2\" name=\"i_am_serious_about_achieving_my_goals\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-i_am_serious_about_achieving_my_goals-12-1\">2<\/label><\/div><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-i_am_serious_about_achieving_my_goals-12-2\" type=\"radio\" value=\"3\" name=\"i_am_serious_about_achieving_my_goals\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-i_am_serious_about_achieving_my_goals-12-2\">3<\/label><\/div><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-i_am_serious_about_achieving_my_goals-12-3\" type=\"radio\" value=\"4\" name=\"i_am_serious_about_achieving_my_goals\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-i_am_serious_about_achieving_my_goals-12-3\">4<\/label><\/div><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-i_am_serious_about_achieving_my_goals-12-4\" type=\"radio\" value=\"5\" name=\"i_am_serious_about_achieving_my_goals\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-i_am_serious_about_achieving_my_goals-12-4\">5<\/label><\/div><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-i_am_serious_about_achieving_my_goals-12-5\" type=\"radio\" value=\"6\" name=\"i_am_serious_about_achieving_my_goals\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-i_am_serious_about_achieving_my_goals-12-5\">6<\/label><\/div><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-i_am_serious_about_achieving_my_goals-12-6\" type=\"radio\" value=\"7\" name=\"i_am_serious_about_achieving_my_goals\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-i_am_serious_about_achieving_my_goals-12-6\">7<\/label><\/div><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-i_am_serious_about_achieving_my_goals-12-7\" type=\"radio\" value=\"8\" name=\"i_am_serious_about_achieving_my_goals\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-i_am_serious_about_achieving_my_goals-12-7\">8<\/label><\/div><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-i_am_serious_about_achieving_my_goals-12-8\" type=\"radio\" value=\"9\" name=\"i_am_serious_about_achieving_my_goals\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-i_am_serious_about_achieving_my_goals-12-8\">9<\/label><\/div><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-i_am_serious_about_achieving_my_goals-12-9\" type=\"radio\" value=\"10\" name=\"i_am_serious_about_achieving_my_goals\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-i_am_serious_about_achieving_my_goals-12-9\">10<\/label><\/div><\/fieldset><\/div><div class=\"fusion-form-field fusion-form-radio-field fusion-form-label-above\" style=\"\" data-form-id=\"2282\"><div class=\"fusion-form-label-wrapper\"><span class=\"label\">I would rate my current physical fitness.<\/span><\/div><fieldset><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-i_would_rate_my_current_physical_fitness-13-0\" type=\"radio\" value=\"1\" name=\"i_would_rate_my_current_physical_fitness\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-i_would_rate_my_current_physical_fitness-13-0\">1<\/label><\/div><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-i_would_rate_my_current_physical_fitness-13-1\" type=\"radio\" value=\"2\" name=\"i_would_rate_my_current_physical_fitness\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-i_would_rate_my_current_physical_fitness-13-1\">2<\/label><\/div><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-i_would_rate_my_current_physical_fitness-13-2\" type=\"radio\" value=\"3\" name=\"i_would_rate_my_current_physical_fitness\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-i_would_rate_my_current_physical_fitness-13-2\">3<\/label><\/div><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-i_would_rate_my_current_physical_fitness-13-3\" type=\"radio\" value=\"4\" name=\"i_would_rate_my_current_physical_fitness\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-i_would_rate_my_current_physical_fitness-13-3\">4<\/label><\/div><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-i_would_rate_my_current_physical_fitness-13-4\" type=\"radio\" value=\"5\" name=\"i_would_rate_my_current_physical_fitness\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-i_would_rate_my_current_physical_fitness-13-4\">5<\/label><\/div><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-i_would_rate_my_current_physical_fitness-13-5\" type=\"radio\" value=\"6\" name=\"i_would_rate_my_current_physical_fitness\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-i_would_rate_my_current_physical_fitness-13-5\">6<\/label><\/div><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-i_would_rate_my_current_physical_fitness-13-6\" type=\"radio\" value=\"7\" name=\"i_would_rate_my_current_physical_fitness\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-i_would_rate_my_current_physical_fitness-13-6\">7<\/label><\/div><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-i_would_rate_my_current_physical_fitness-13-7\" type=\"radio\" value=\"8\" name=\"i_would_rate_my_current_physical_fitness\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-i_would_rate_my_current_physical_fitness-13-7\">8<\/label><\/div><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-i_would_rate_my_current_physical_fitness-13-8\" type=\"radio\" value=\"9\" name=\"i_would_rate_my_current_physical_fitness\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-i_would_rate_my_current_physical_fitness-13-8\">9<\/label><\/div><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-i_would_rate_my_current_physical_fitness-13-9\" type=\"radio\" value=\"10\" name=\"i_would_rate_my_current_physical_fitness\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-i_would_rate_my_current_physical_fitness-13-9\">10<\/label><\/div><\/fieldset><\/div><div class=\"fusion-form-field fusion-form-radio-field fusion-form-label-above\" style=\"\" data-form-id=\"2282\"><div class=\"fusion-form-label-wrapper\"><span class=\"label\">How many hours of sleep.<\/span><\/div><fieldset><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-how_many_hours_of_sleep-14-0\" type=\"radio\" value=\"1\" name=\"how_many_hours_of_sleep\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-how_many_hours_of_sleep-14-0\">1<\/label><\/div><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-how_many_hours_of_sleep-14-1\" type=\"radio\" value=\"2\" name=\"how_many_hours_of_sleep\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-how_many_hours_of_sleep-14-1\">2<\/label><\/div><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-how_many_hours_of_sleep-14-2\" type=\"radio\" value=\"3\" name=\"how_many_hours_of_sleep\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-how_many_hours_of_sleep-14-2\">3<\/label><\/div><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-how_many_hours_of_sleep-14-3\" type=\"radio\" value=\"4\" name=\"how_many_hours_of_sleep\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-how_many_hours_of_sleep-14-3\">4<\/label><\/div><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-how_many_hours_of_sleep-14-4\" type=\"radio\" value=\"5\" name=\"how_many_hours_of_sleep\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-how_many_hours_of_sleep-14-4\">5<\/label><\/div><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-how_many_hours_of_sleep-14-5\" type=\"radio\" value=\"6\" name=\"how_many_hours_of_sleep\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-how_many_hours_of_sleep-14-5\">6<\/label><\/div><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-how_many_hours_of_sleep-14-6\" type=\"radio\" value=\"7\" name=\"how_many_hours_of_sleep\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-how_many_hours_of_sleep-14-6\">7<\/label><\/div><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-how_many_hours_of_sleep-14-7\" type=\"radio\" value=\"8\" name=\"how_many_hours_of_sleep\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-how_many_hours_of_sleep-14-7\">8<\/label><\/div><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-how_many_hours_of_sleep-14-8\" type=\"radio\" value=\"9\" name=\"how_many_hours_of_sleep\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-how_many_hours_of_sleep-14-8\">9<\/label><\/div><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-how_many_hours_of_sleep-14-9\" type=\"radio\" value=\"10\" name=\"how_many_hours_of_sleep\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-how_many_hours_of_sleep-14-9\">10<\/label><\/div><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-how_many_hours_of_sleep-14-10\" type=\"radio\" value=\"11\" name=\"how_many_hours_of_sleep\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-how_many_hours_of_sleep-14-10\">11<\/label><\/div><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-how_many_hours_of_sleep-14-11\" type=\"radio\" value=\"12\" name=\"how_many_hours_of_sleep\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-how_many_hours_of_sleep-14-11\">12<\/label><\/div><\/fieldset><\/div><div class=\"fusion-form-field fusion-form-radio-field fusion-form-label-above\" style=\"\" data-form-id=\"2282\"><div class=\"fusion-form-label-wrapper\"><span class=\"label\">How many days can you train.<\/span><\/div><fieldset><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-how_many_days_can_you_train-15-0\" type=\"radio\" value=\"1\" name=\"how_many_days_can_you_train\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-how_many_days_can_you_train-15-0\">1<\/label><\/div><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-how_many_days_can_you_train-15-1\" type=\"radio\" value=\"2\" name=\"how_many_days_can_you_train\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-how_many_days_can_you_train-15-1\">2<\/label><\/div><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-how_many_days_can_you_train-15-2\" type=\"radio\" value=\"3\" name=\"how_many_days_can_you_train\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-how_many_days_can_you_train-15-2\">3<\/label><\/div><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-how_many_days_can_you_train-15-3\" type=\"radio\" value=\"4\" name=\"how_many_days_can_you_train\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-how_many_days_can_you_train-15-3\">4<\/label><\/div><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-how_many_days_can_you_train-15-4\" type=\"radio\" value=\"5\" name=\"how_many_days_can_you_train\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-how_many_days_can_you_train-15-4\">5<\/label><\/div><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-how_many_days_can_you_train-15-5\" type=\"radio\" value=\"6\" name=\"how_many_days_can_you_train\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-how_many_days_can_you_train-15-5\">6<\/label><\/div><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-how_many_days_can_you_train-15-6\" type=\"radio\" value=\"7\" name=\"how_many_days_can_you_train\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-how_many_days_can_you_train-15-6\">7<\/label><\/div><\/fieldset><\/div><div class=\"fusion-form-field fusion-form-radio-field fusion-form-label-above\" style=\"\" data-form-id=\"2282\"><div class=\"fusion-form-label-wrapper\"><span class=\"label\">How many cups of water do you drink per day on average? (1 cup = 1 glass)<\/span><\/div><fieldset><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-how_many_cups_of_water_do_you_drink_per_day_on_average_1_cup_=_1_glass-16-0\" type=\"radio\" value=\"1\" name=\"how_many_cups_of_water_do_you_drink_per_day_on_average_1_cup_=_1_glass\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-how_many_cups_of_water_do_you_drink_per_day_on_average_1_cup_=_1_glass-16-0\">1<\/label><\/div><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-how_many_cups_of_water_do_you_drink_per_day_on_average_1_cup_=_1_glass-16-1\" type=\"radio\" value=\"2\" name=\"how_many_cups_of_water_do_you_drink_per_day_on_average_1_cup_=_1_glass\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-how_many_cups_of_water_do_you_drink_per_day_on_average_1_cup_=_1_glass-16-1\">2<\/label><\/div><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-how_many_cups_of_water_do_you_drink_per_day_on_average_1_cup_=_1_glass-16-2\" type=\"radio\" value=\"3\" name=\"how_many_cups_of_water_do_you_drink_per_day_on_average_1_cup_=_1_glass\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-how_many_cups_of_water_do_you_drink_per_day_on_average_1_cup_=_1_glass-16-2\">3<\/label><\/div><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-how_many_cups_of_water_do_you_drink_per_day_on_average_1_cup_=_1_glass-16-3\" type=\"radio\" value=\"4\" name=\"how_many_cups_of_water_do_you_drink_per_day_on_average_1_cup_=_1_glass\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-how_many_cups_of_water_do_you_drink_per_day_on_average_1_cup_=_1_glass-16-3\">4<\/label><\/div><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-how_many_cups_of_water_do_you_drink_per_day_on_average_1_cup_=_1_glass-16-4\" type=\"radio\" value=\"5\" name=\"how_many_cups_of_water_do_you_drink_per_day_on_average_1_cup_=_1_glass\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-how_many_cups_of_water_do_you_drink_per_day_on_average_1_cup_=_1_glass-16-4\">5<\/label><\/div><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-how_many_cups_of_water_do_you_drink_per_day_on_average_1_cup_=_1_glass-16-5\" type=\"radio\" value=\"6\" name=\"how_many_cups_of_water_do_you_drink_per_day_on_average_1_cup_=_1_glass\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-how_many_cups_of_water_do_you_drink_per_day_on_average_1_cup_=_1_glass-16-5\">6<\/label><\/div><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-how_many_cups_of_water_do_you_drink_per_day_on_average_1_cup_=_1_glass-16-6\" type=\"radio\" value=\"7\" name=\"how_many_cups_of_water_do_you_drink_per_day_on_average_1_cup_=_1_glass\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-how_many_cups_of_water_do_you_drink_per_day_on_average_1_cup_=_1_glass-16-6\">7<\/label><\/div><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-how_many_cups_of_water_do_you_drink_per_day_on_average_1_cup_=_1_glass-16-7\" type=\"radio\" value=\"8\" name=\"how_many_cups_of_water_do_you_drink_per_day_on_average_1_cup_=_1_glass\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-how_many_cups_of_water_do_you_drink_per_day_on_average_1_cup_=_1_glass-16-7\">8<\/label><\/div><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-how_many_cups_of_water_do_you_drink_per_day_on_average_1_cup_=_1_glass-16-8\" type=\"radio\" value=\"9\" name=\"how_many_cups_of_water_do_you_drink_per_day_on_average_1_cup_=_1_glass\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-how_many_cups_of_water_do_you_drink_per_day_on_average_1_cup_=_1_glass-16-8\">9<\/label><\/div><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-how_many_cups_of_water_do_you_drink_per_day_on_average_1_cup_=_1_glass-16-9\" type=\"radio\" value=\"10 or more\" name=\"how_many_cups_of_water_do_you_drink_per_day_on_average_1_cup_=_1_glass\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-how_many_cups_of_water_do_you_drink_per_day_on_average_1_cup_=_1_glass-16-9\">10 or more<\/label><\/div><\/fieldset><\/div><div class=\"fusion-form-field fusion-form-radio-field fusion-form-label-above\" style=\"\" data-form-id=\"2282\"><div class=\"fusion-form-label-wrapper\"><span class=\"label\">How many cups of cafeinated beverages do you drink per day? (coffee, tea)<\/span><\/div><fieldset><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-how_many_cups_of_cafeinated_beverages_do_you_drink_per_day_coffee_tea-17-0\" type=\"radio\" value=\"1\" name=\"how_many_cups_of_cafeinated_beverages_do_you_drink_per_day_coffee_tea\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-how_many_cups_of_cafeinated_beverages_do_you_drink_per_day_coffee_tea-17-0\">1<\/label><\/div><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-how_many_cups_of_cafeinated_beverages_do_you_drink_per_day_coffee_tea-17-1\" type=\"radio\" value=\"2\" name=\"how_many_cups_of_cafeinated_beverages_do_you_drink_per_day_coffee_tea\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-how_many_cups_of_cafeinated_beverages_do_you_drink_per_day_coffee_tea-17-1\">2<\/label><\/div><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-how_many_cups_of_cafeinated_beverages_do_you_drink_per_day_coffee_tea-17-2\" type=\"radio\" value=\"3\" name=\"how_many_cups_of_cafeinated_beverages_do_you_drink_per_day_coffee_tea\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-how_many_cups_of_cafeinated_beverages_do_you_drink_per_day_coffee_tea-17-2\">3<\/label><\/div><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-how_many_cups_of_cafeinated_beverages_do_you_drink_per_day_coffee_tea-17-3\" type=\"radio\" value=\"4\" name=\"how_many_cups_of_cafeinated_beverages_do_you_drink_per_day_coffee_tea\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-how_many_cups_of_cafeinated_beverages_do_you_drink_per_day_coffee_tea-17-3\">4<\/label><\/div><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-how_many_cups_of_cafeinated_beverages_do_you_drink_per_day_coffee_tea-17-4\" type=\"radio\" value=\"5\" name=\"how_many_cups_of_cafeinated_beverages_do_you_drink_per_day_coffee_tea\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-how_many_cups_of_cafeinated_beverages_do_you_drink_per_day_coffee_tea-17-4\">5<\/label><\/div><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-how_many_cups_of_cafeinated_beverages_do_you_drink_per_day_coffee_tea-17-5\" type=\"radio\" value=\"6\" name=\"how_many_cups_of_cafeinated_beverages_do_you_drink_per_day_coffee_tea\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-how_many_cups_of_cafeinated_beverages_do_you_drink_per_day_coffee_tea-17-5\">6<\/label><\/div><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-how_many_cups_of_cafeinated_beverages_do_you_drink_per_day_coffee_tea-17-6\" type=\"radio\" value=\"7\" name=\"how_many_cups_of_cafeinated_beverages_do_you_drink_per_day_coffee_tea\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-how_many_cups_of_cafeinated_beverages_do_you_drink_per_day_coffee_tea-17-6\">7<\/label><\/div><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-how_many_cups_of_cafeinated_beverages_do_you_drink_per_day_coffee_tea-17-7\" type=\"radio\" value=\"8\" name=\"how_many_cups_of_cafeinated_beverages_do_you_drink_per_day_coffee_tea\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-how_many_cups_of_cafeinated_beverages_do_you_drink_per_day_coffee_tea-17-7\">8<\/label><\/div><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-how_many_cups_of_cafeinated_beverages_do_you_drink_per_day_coffee_tea-17-8\" type=\"radio\" value=\"9\" name=\"how_many_cups_of_cafeinated_beverages_do_you_drink_per_day_coffee_tea\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-how_many_cups_of_cafeinated_beverages_do_you_drink_per_day_coffee_tea-17-8\">9<\/label><\/div><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-how_many_cups_of_cafeinated_beverages_do_you_drink_per_day_coffee_tea-17-9\" type=\"radio\" value=\"10 or more\" name=\"how_many_cups_of_cafeinated_beverages_do_you_drink_per_day_coffee_tea\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-how_many_cups_of_cafeinated_beverages_do_you_drink_per_day_coffee_tea-17-9\">10 or more<\/label><\/div><\/fieldset><\/div><div class=\"fusion-form-field fusion-form-radio-field fusion-form-label-above\" style=\"\" data-form-id=\"2282\"><div class=\"fusion-form-label-wrapper\"><span class=\"label\">I eat in response to stress.<\/span><\/div><fieldset><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-i_eat_in_response_to_stress-18-0\" type=\"radio\" value=\"1\" name=\"i_eat_in_response_to_stress\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-i_eat_in_response_to_stress-18-0\">1<\/label><\/div><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-i_eat_in_response_to_stress-18-1\" type=\"radio\" value=\"2\" name=\"i_eat_in_response_to_stress\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-i_eat_in_response_to_stress-18-1\">2<\/label><\/div><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-i_eat_in_response_to_stress-18-2\" type=\"radio\" value=\"3\" name=\"i_eat_in_response_to_stress\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-i_eat_in_response_to_stress-18-2\">3<\/label><\/div><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-i_eat_in_response_to_stress-18-3\" type=\"radio\" value=\"4\" name=\"i_eat_in_response_to_stress\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-i_eat_in_response_to_stress-18-3\">4<\/label><\/div><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-i_eat_in_response_to_stress-18-4\" type=\"radio\" value=\"5\" name=\"i_eat_in_response_to_stress\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-i_eat_in_response_to_stress-18-4\">5<\/label><\/div><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-i_eat_in_response_to_stress-18-5\" type=\"radio\" value=\"6\" name=\"i_eat_in_response_to_stress\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-i_eat_in_response_to_stress-18-5\">6<\/label><\/div><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-i_eat_in_response_to_stress-18-6\" type=\"radio\" value=\"7\" name=\"i_eat_in_response_to_stress\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-i_eat_in_response_to_stress-18-6\">7<\/label><\/div><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-i_eat_in_response_to_stress-18-7\" type=\"radio\" value=\"8\" name=\"i_eat_in_response_to_stress\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-i_eat_in_response_to_stress-18-7\">8<\/label><\/div><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-i_eat_in_response_to_stress-18-8\" type=\"radio\" value=\"9\" name=\"i_eat_in_response_to_stress\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-i_eat_in_response_to_stress-18-8\">9<\/label><\/div><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-i_eat_in_response_to_stress-18-9\" type=\"radio\" value=\"10\" name=\"i_eat_in_response_to_stress\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-i_eat_in_response_to_stress-18-9\">10<\/label><\/div><\/fieldset><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-7 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-bottom:px;width:100%;\"><div class=\"fusion-separator-border sep-single sep-solid\" style=\"--awb-height:20px;--awb-amount:20px;border-color:var(--awb-color3);border-top-width:1px;\"><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-8 fusion_builder_column_1_3 1_3 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:33.333333333333%;--awb-margin-top-large:0px;--awb-spacing-right-large:5.76%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:5.76%;--awb-width-medium:33.333333333333%;--awb-order-medium:0;--awb-spacing-right-medium:5.76%;--awb-spacing-left-medium:5.76%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-7 fusion-sep-none fusion-title-text fusion-title-size-four\" style=\"--awb-text-color:var(--awb-color1);--awb-margin-top:6px;--awb-margin-bottom:4px;\"><h4 class=\"fusion-title-heading title-heading-left\" style=\"margin:0;\">Availability<\/h4><\/div><div class=\"fusion-text fusion-text-1\"><p>I'd love to set up a free consultation to discuss your goals and the best options for you. Please let me know your availability and I will reach out to you shortly.<\/p>\n<\/div>\n<\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-9 fusion_builder_column_2_3 2_3 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:66.666666666667%;--awb-margin-top-large:0px;--awb-spacing-right-large:2.88%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:2.88%;--awb-width-medium:66.666666666667%;--awb-order-medium:0;--awb-spacing-right-medium:2.88%;--awb-spacing-left-medium:2.88%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row fusion-flex-align-items-flex-start fusion-flex-justify-content-center fusion-flex-content-wrap\" style=\"width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-17 fusion_builder_column_inner_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-margin-top-large:0px;--awb-spacing-right-large:3.84%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:3.84%;--awb-width-medium:50%;--awb-order-medium:0;--awb-spacing-right-medium:3.84%;--awb-spacing-left-medium:3.84%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-radio-field fusion-form-label-above\" style=\"\" data-form-id=\"2282\"><div class=\"fusion-form-label-wrapper\"><span class=\"label\">Preferred day <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/span><\/div><fieldset><div class=\"fusion-form-radio\"><input data-empty-notice=\"Please select a day\" tabindex=\"\" id=\"radio-preferred_day-19-0\" type=\"radio\" value=\"Monday\" name=\"preferred_day\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><label for=\"radio-preferred_day-19-0\">Monday<\/label><\/div><div class=\"fusion-form-radio\"><input data-empty-notice=\"Please select a day\" tabindex=\"\" id=\"radio-preferred_day-19-1\" type=\"radio\" value=\"Tuesday\" name=\"preferred_day\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><label for=\"radio-preferred_day-19-1\">Tuesday<\/label><\/div><div class=\"fusion-form-radio\"><input data-empty-notice=\"Please select a day\" tabindex=\"\" id=\"radio-preferred_day-19-2\" type=\"radio\" value=\"Wednesday\" name=\"preferred_day\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><label for=\"radio-preferred_day-19-2\">Wednesday<\/label><\/div><div class=\"fusion-form-radio\"><input data-empty-notice=\"Please select a day\" tabindex=\"\" id=\"radio-preferred_day-19-3\" type=\"radio\" value=\"Thursday\" name=\"preferred_day\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><label for=\"radio-preferred_day-19-3\">Thursday<\/label><\/div><div class=\"fusion-form-radio\"><input data-empty-notice=\"Please select a day\" tabindex=\"\" id=\"radio-preferred_day-19-4\" type=\"radio\" value=\"Friday\" name=\"preferred_day\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><label for=\"radio-preferred_day-19-4\">Friday<\/label><\/div><\/fieldset><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-18 fusion_builder_column_inner_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-margin-top-large:0px;--awb-spacing-right-large:3.84%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:3.84%;--awb-width-medium:50%;--awb-order-medium:0;--awb-spacing-right-medium:3.84%;--awb-spacing-left-medium:3.84%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-radio-field fusion-form-label-above\" style=\"\" data-form-id=\"2282\"><div class=\"fusion-form-label-wrapper\"><span class=\"label\">Preferred time <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/span><\/div><fieldset><div class=\"fusion-form-radio\"><input data-empty-notice=\"Please select a time\" tabindex=\"\" id=\"radio-preferred_time-20-0\" type=\"radio\" value=\"Morning\" name=\"preferred_time\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><label for=\"radio-preferred_time-20-0\">Morning<\/label><\/div><div class=\"fusion-form-radio\"><input data-empty-notice=\"Please select a time\" tabindex=\"\" id=\"radio-preferred_time-20-1\" type=\"radio\" value=\"Afternoon\" name=\"preferred_time\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><label for=\"radio-preferred_time-20-1\">Afternoon<\/label><\/div><div class=\"fusion-form-radio\"><input data-empty-notice=\"Please select a time\" tabindex=\"\" id=\"radio-preferred_time-20-2\" type=\"radio\" value=\"Night\" name=\"preferred_time\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><label for=\"radio-preferred_time-20-2\">Night<\/label><\/div><\/fieldset><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-10 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-submit-field fusion-form-label-above\" style=\"\" data-form-id=\"2282\"><div style=\"text-align:center;\"><button type=\"submit\" class=\"fusion-button button-flat fusion-button-default-size button-default fusion-button-default button-1 fusion-button-span-yes  form-form-submit button-default\" style=\"--button-border-radius-top-left:32px;--button-border-radius-top-right:32px;--button-border-radius-bottom-right:32px;--button-border-radius-bottom-left:32px;--button_padding-top:20px;--button_padding-bottom:20px;\" data-form-number=\"2282\" tabindex=\"\"><span class=\"fusion-button-text\">Send Request<\/span><\/button><\/div><\/div><div class=\"fusion-form-field fusion-form-recaptcha-field fusion-form-label-above info@bigdaddyfitness.com\" style=\"\" data-form-id=\"2282\">\t\t\t\t<div class=\"form-creator-recaptcha info@bigdaddyfitness.com\" >\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"fusion-form-recaptcha-wrapper\">\n\t\t\t\t\t\t\t\t\t\t<div\n\t\t\t\t\t\t\tid=\"g-recaptcha-id-form-2282\"\n\t\t\t\t\t\t\tclass=\"fusion-form-recaptcha-v3 recaptcha-container \"\n\t\t\t\t\t\t\tdata-sitekey=\"6LektMYrAAAAAEkHjXZnLqs_HkmkaSW6hPrG_ACC\"\n\t\t\t\t\t\t\tdata-badge=\"inline\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"hidden\"\n\t\t\t\t\t\t\tname=\"fusion-form-recaptcha-response\"\n\t\t\t\t\t\t\tclass=\"g-recaptcha-response\"\n\t\t\t\t\t\t\tid=\"fusion-form-recaptcha-response-2282\"\n\t\t\t\t\t\t\tvalue=\"\">\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div><\/div><\/div><\/div><\/div><input type=\"hidden\" name=\"fusion_privacy_store_ip_ua\" value=\"false\"><input type=\"hidden\" name=\"fusion_privacy_expiration_interval\" value=\"48\"><input type=\"hidden\" name=\"privacy_expiration_action\" value=\"anonymize\"><\/form><\/div><\/div><\/div><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":2,"featured_media":1713,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"100-width.php","meta":{"_acf_changed":false,"content-type":"","footnotes":""},"class_list":["post-1801","page","type-page","status-publish","has-post-thumbnail","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Questionnaire sur la sant\u00e9 et le mode de vie | Big Daddy Fitness<\/title>\n<meta name=\"description\" content=\"Commencez votre parcours de remise en forme avec Big Daddy Fitness. 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