Please note that by completing the following application, you are applying for the Duke Diet and Fitness Center program. Your application will be reviewed to determine your eligibility for the program. You will receive notification of our decision within two business days after receipt of your application. We ask that you delay making travel or lodging arrangements until after you have received confirmation of your program acceptance. If you are seeking additional information about the program, please contact the Admissions team at 800-235-3853 or at firstname.lastname@example.org.
At the Duke Diet and Fitness Center we do our best to guarantee a safe environment for all of our clients. Please let us know BEFORE YOU LEAVE HOME if you have travelled to Nigeria, Liberia, Guinea or Sierra Leone in the past three weeks.
Page 1 of 6
You have selected an option that triggers this survey to end right now. To save your responses and end the survey, click the
button below to do so. If you have selected the wrong option by accident and do not wish to leave the survey,
you may click the other button below to continue, which will also remove the value of the option you just selected
to allow you to enter it again and continue the survey.
The response has now been removed for the last question for which you selected a value. You may now enter
a new response for that question and continue the survey.