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Tell Us About Yourself.
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| Keenfit Location |
You are interested on Keenfit at this location.
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| FName: |
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| LName: |
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| NickName: |
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| Street Address |
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| City |
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| Emirate/Province/Region |
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| ZIP/Postal Code |
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| Country |
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| Phone No |
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| Mobile No |
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| EMail: |
Your email address will be used as your login name allowing you to return to our website to view your status and update your profile. If you do not have an email addres, you can obtain a free account at Yahoo, Hotmail or Gmail. Please make sure that the syntax of your email address is in the following form: username@ispname.com. |
| Birthdate: |
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| Nationality: |
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Please Tell Us More! |
Population of your
area |
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Are you presentl
working? |
If yes, what are you doing?
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What do you like about
your present situation
and if there was
something you could
change, what would it
be and why? |
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Do you consider
yourself a self-
motivated, responsible
person? Share a story
that would be a good
example. |
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How, when and from
whom did you first hear
about walking poles? |
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Share your Keenfit
testimony and what Pole
Walking has added to
your life. |
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Why do you think
being a Keenfit Certified
Trainer would be the
right fit for you? |
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What are your goals
for this year? |
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Where do you see
yourself in 3 years? |
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Are you willing to
continuously work and
develop your inner
self? Share with us
what you do now -- i.e.
reading, courses, etc. |
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How much time do you
have available to
commit to Keenfit
each week? |
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Do you have access to
the internet from
home? |
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