Cyber Trainer™

Use this form to get your free Personal Workout plan. Just enter the required information and press Submit below. A Personal Workout plan will be tailored for your specific goals by our automatic software. You can then use the File/Print on your browser menu to print it out on your printer. This information is kept private and no part of it including your email address is released to anyone. If you are not sure of any of the answers, please do not guess but consult a physician.

First Name
Last Name
Address, Apt #
Zip/Postal Code
Phone - -
Gender: Male   Female
Height: (closest)
Weight: (closest)
Muscle Type:
Activity Level:
Muscle Growth
Weight Loss Goal
Cardio Performance

HEALTH QUESTIONAIRE:   (check all that apply)
Arthritis Respiratory Problems
Back Pain High Blood Pressure
Joint Pain (knee, shoulder) Coronary Disease
Shin Splints Heart Disease
Foot Pain Muscle Pain
Stroke Other Pain
Epilepsy Light-headed, Faintness
Diabetes Chest Pain
Hypoglycemia Shortness of Breath
Pregnant Family History Stroke
Family History Coronary Smoker
Elevated Cholesterol Hernia
Taking Medication

COMMENTS:   (List any comments or suggestions that you may have.)

These web pages and related emails ("content"), which are provided by IFA to you on this web site are subject to the following terms and conditions and by using such content, you are deemed to have agreed to such terms and conditions. The content on this web site is general in nature, and is provided for informational purposes only. IFA strongly advises that you consult your health care provider before you alter your diet or fitness activities. The information provided herein is meant to supplement the advice and counsel of your health care provider or other health professionals and is not meant to substitute for medical advice. Always seek the advice of your physician or other qualified health care provider with any questions you may have regarding a medical condition. Neither the Content nor any other service offered by or through the web site is intended to be relied upon for medical diagnosis or treatment. Never disregard medical advice or delay in seeking it because of something you have read on this web site.

By clicking on the Submit button, you affirm that you have read and you agree to the terms and conditions above and that your answers to the above questions are true.

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