RIKFIT - CLIENT APPLICATION FORM
Welcome to our client application form, please note that this form does not guarantee you a place on the service you select. However, please note the level of commitment you have towards your goal and how detailed your answer are, will increase your chances of being accepted on the service that you have selected.
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
Phone Number
-
Area Code
Phone Number
What's your Gender?
Male
Female
What service are you most interested in?
Personal Training
Transformation Groups
Online Coaching
Fitness Classes
Nutrition/Training Programming
Workplace/residency Wellness
What's your goal? (Be as descriptive as possible)
When do you want to achieve this goal?
1-3 Months (Short term)
4-12 Months (Medium term)
12+ Months (Long term)
How committed are you to achieving your goal?
1
2
3
4
5
6
7
8
9
10
Not arsed
I'll eat fire
1 is Not arsed, 10 is I'll eat fire
What sort of training are you most interested in?
Strength
Fitness endurance
Muscle building
Fatloss
Athletic performance
Overall wellness
Other
Have followed a serious training program before?
Yes
No
How would you rate your understanding of nutrition?
1
2
3
4
5
6
7
8
9
10
No clue what I'm doing
I'm the Einstein of nutrition
1 is No clue what I'm doing, 10 is I'm the Einstein of nutrition
How many times a week are you willing to train?
1
2
3
4
5
6
7+
How many times a week would you like to train with us?
1
2
3
4
5
6
7+
Online
Describe what achieving your end goal means to you? (Be as descriptive as possible)
What's your budget monthly for training?
Up to £100
£100-£200
£200-£300
£300-£400
£400-£500
£500-£600
£600-£700
£700-£800
£800-£900
£900-£1000
What do you feel you need help with the most when it comes to achieving your goal? (Be as descriptive as possible)
When do you want to start?
NOW!
In the upcoming days
Within the next couple of weeks
Within the next couple of months
Within the next year
Anything else to add?
How did you hear about us?
Submit
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