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Exercise Buddy Form
Looking for an Exercise Buddy
If you would like to exercise with a buddy, please complete the form below.
The information you submit on this form will automatically appear on the Buddy Board. By submitting this information, you agree that you are looking for a buddy to exercise with and that others may contact you for this purpose only.
Please indicate your preference, either work phone OR email.
Date:
(mm/dd/yy)
First Name:
Last Name:
Email:
Work Phone:
(Full number please)
1. When would you like to workout? Day(s) and Time(s):
Mon
Tues
Weds
Thurs
Fri
Sat
Sun
Please indicate a.m. or p.m.
2. Would youlike to workout with:
Male
Female
No Preference
3. What types of exercises are you interested in? i.e. Weight lifting, cardio/aerobic, both, or other?
4. What is your exercise goal? i.e. Lose weight, build muscle, tone down, etc.
5. Would you consider yourself a:
Beginner
Intermediate
Advanced
6. Would you like to workout with someone on the same level?
Yes
No
Robert C. Byrd Health Sciences Center
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Wellness Program
| P.O. Box 9146 | Morgantown, WV 26506-9146
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