Please fill in all fields below.

Given Name


Family Name


Birth Date (dd/mm/yyyy)*
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Gender
Male Female

Occupation


Company / Institution


Address


Country
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Postal Code


Telephone No.


Mobile No.


Primary Email


Alternate Email (Optional)


Current Physical Activity:

On average, how often do you exercise a week?*
I am not physically active
1-2 times a week
3-4 times a week
5-6 times a week
More than 6 times a week

On the average, how long are your exercise sessions?*
I am not physically active
Under 30 minutes at a time
30-45 minutes at a time
45-60 minutes at a time
More than 60 minutes at a time

Sporting activities done frequently


Polar Product Model
None Polar A3 Polar A5 PolarAXN300 PolarAXN500 PolarAXN700 PolarCS100 PolarCS100b PolarCS200 PolarCS200cad PolarF1 PolarF2 PolarF3 PolarF4 PolarF4 female PolarF5 PolarF55 PolarF55 female PolarF6 PolarF6 female PolarF11 PolarF11 female PolarF92ti PolarM61/62 PolarM91 PolarRS100 PolarRS200 PolarRS200sd PolarS120 PolarS150 PolarS210 PolarS410i PolarS510 PolarS520 PolarS610i PolarS625x PolarS710i PolarS720i PolarS725 PolarS810i PolarWM42/41 PolarWM22/21

Polar Serial Number (See back of wrist unit e.g. F422A30100225)


Where did you purchase your new Polar?