Schedule A Tour - EL - Fitness Formula Clubs

First Name*

Last Name*

Email*

Phone*

Which of the following best describes you?*

Preferred Date*

MM

DD

YYYY

Preferred Time*

: HH

MM

Select your programming interests:*

Referring member's first name

(if applicable)

Referring member's last name

(if applicable)

Comments

This field is for validation purposes and should be left unchanged.

#10	I am at my limit. I can’t move anymore. I have to stop.
#9	I am almost at my limit. I will have a hard time continuing to move.
#8	I can grunt responses can only keep this pace for a short period.
#7	I can still talk, but I don’t want to, and I am really sweating now!
#6	I can still talk, but getting breathless and definitely sweating.
#5	I’m just above comfortable, sweating more, but can still talk easily.
#4	I’m sweating a bit, but feel good and can carry on a conversation.
#3	I’m comfortable, but breathing a bit harder.
#2	I’m comfortable. I could do this all day.
#1	No exertion – watching TV.

SCHEDULE A VISIT