First Name
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Email
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What’s your biggest reason for wanting to improve your strength, balance, or energy right now?
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I want to stay independent as I age
I’m tired of feeling stiff, tired, or weak
I want to reduce my risk of falls or injuries
I want to feel more confident in my body
I’m motivated by a recent health scare or diagnosis
What describes your current lifestyle best?
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I’m active and looking for something more targeted for women 60+
I exercise occasionally but not consistently
I know I need to move more, but I don’t know where to start
I’ve been sedentary and this is a fresh start for me
How ready are you to commit time and energy to a program that helps you age powerfully?
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I’m 100% ready to take care of my health and make it a priority
I’m interested but nervous — I need more support and accountability
I’m exploring options but not ready to commit to anything yet
Are you comfortable using Zoom for online classes and support?
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Yes, I’m confident using Zoom
I’ve used it a few times and I’m open to learning
I’ve never used it, but I’m willing to learn
I’m not comfortable with Zoom and prefer pre-recorded videos
If you knew this program would significantly improve your strength, balance, and confidence, would you be willing to invest in your health?
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Yes, I’ve been looking for something like this
Possibly — it depends on the details
I’m interested, but finances may be a challenge right now
No, I’m not able to invest at this time
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