Attn:  Women of Gibsonburg 

My name is LeAnn Helle and I’m a personal trainer.  I’m interested in starting a circuit-training style exercise class for local residents and I need your help.

You can expect a fun and challenging workout that includes muscle strengthening and toning, cardiovascular conditioning, core stabilization, balance and flexibility training.  These workouts will help you gain lean muscle, increase your endurance and strength, as well as boost your energy and metabolism.  Perfect for fat loss!  Women of any fitness level are welcome.

If you might be interested in attending such a class, please fill out the information below.  This will help me schedule the class during the most helpful time for you.  You may return the survey directly to me or drop it off at either Fusion Fitness or Vibrant Solutions Massage Therapy, both on Madison Street.

Thank you!

LeAnn Helle, ACE Personal Trainer

419-512-4896, L-Helle@woh.rr.com, www.LeAnnHelle.com

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Do you currently attend any exercise classes?  If so, where and how often?

Please check all that apply:

Do you prefer indoor camps or outdoor?

____  Indoor (Winter only)    Indoor (all seasons)   ____ Outdoor(Spring, Summer, Fall)

How many classes per week?   ____ 2   ____ 3   ____ 4  ____ 5

What time of day would be best for you?   ___ 6-7am  ___ 7-8am  ___6-7pm  ___7-8pm   Other:  ___________________

Which days of the week would you attend?   __ M  __ Tu  __ Wed  __ Thu  __ Fri  __ Sat

What equipment, if any, would you like to use?  (Dumbbells, kettlebells, tubing, steps, balls, etc.)   ______________________________________________________________

How much would you be willing to pay for classes?  _____________________________

What goal(s) do you want to achieve by attending boot camp?  _____________________

Name:  _____________________________________________

Phone: _____________________________________________

E-mail address:  _______________________________________

Please add any comments or observations that you'd like me to be aware of: