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Intake form
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Name
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Email address
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What type of fitness equipment do you need assistance with?
Please select at least one option.
Treadmills
Ellipticals
Bikes
Rowers
Steppers
Strength Machines
What service are you interested in?
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Virtual Diagnostics
On-Site Repair
Preventive Maintenance
Part Sourcing
Calibration
Error-Code Troubleshooting
What is the brand of your fitness equipment?
What is the model of your fitness equipment?
How did you hear about us?
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Google Search
Social Media
Referral
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What is your preferred method of contact?
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Email
Phone
Text Message
When would you like to schedule an appointment?
Which service or services are you interested in?
Please select at least one option.
Virtual diagnostics
On-site repair and maintenance
Preventive maintenance
Part sourcing
Calibration and error-code troubleshooting
Additional questions or comments
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