TFP Needs Assessment Form

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Full Name* This field is required.
First Name
Last Name
2
Phone Number* This field is required.
3
Email* This field is required.
example@example.com
4
Please add in your DOB below* This field is required.
5
Where did you hear about us?* This field is required.
Please Select
Please Select
Social Media
Google Search
Friend/Family
Recommended By Someone Else
Walked Past
Print Advert
Event
Other
6
Have you had Personal Training before?* This field is required.This includes face to face and/or virtual training
YESNO
7
If YES, why did you stop training with your previous Personal Trainer?* This field is required.
8
Have you experienced Online Programming before?* This field is required.This includes tailored programming (not generic influencer workouts from YouTube, Instagram, TikTok, etc)
YESNO
9
How good would you say your diet is?* This field is required.Nutrition is one of the major cornerstones of health...
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2
3
4
5
Very poor!
Amazing
10
How would you rate your rest/sleep?* This field is required.
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2
3
4
5
Inconsistent and 3-6 hour range
Consistent and 8+
11
How stressful is your job/lifestyle?* This field is required.
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2
3
4
5
I am stressed!
Very Relaxed
12
Out of 5, how fit do you feel now?* This field is required.1 bad - 5 great
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2
3
4
5
Not great
Amazing!
13
How important is it for you to create change?* This field is required.
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2
3
4
5
Kind of..
Completely!
14
Are you currently exercising?* This field is required.
No Exercising Weekly
1 Time Per Week (most weeks)
1-2 Times Weekly
3-5 Times Weekly
5+ Times Weekly
Other
15
What motivated you to come here today?* This field is required.Please tick one or two main reasons
I'm fed up of not taking action
Doctor or allied health advised
You've been highly recommended
Not a fan of big gyms
Need a more private style of training
Can't do regular gym work due to injury
Bored outside walking etc...
Mental Health
Other
16
How long have you been thinking about getting into some fitness?* This field is required.
Less than 1 Month
1-3 Months
3-6 Months
6-12 Months
1-3 Years
3 Years+
17
What has stopped you from taking action before?* This field is required.Please pick one or two main reasons...
Time
Money
Busy Lifestyle
Procrastination
Location
Other
18
Is this issue resolved or almost resolved?* This field is required.I presume it is, seeing as you are here today!
YESNO
19
What two of the below would you like to achieve?* This field is required.
Fitness Increase
Better Energy
Weight Loss
Strength Gain
Improved Health (Mental/Physical)
Tone Up
Habit Creation
Lifestyle Adjustment (ie: Nutrition)
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Outline your main goal below?* This field is required."I want to...."
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Why is this your big goal?* This field is required.What about this matters so much...
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What is the biggest thing currently holding you back?* This field is required.What has been stopping you from being at your goals today?
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How important is your goal?* This field is required.Having a clear goal is important to success...
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2
3
4
5
Not at all
Extremely
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Do you have a timeline to achieve the above goals?* This field is required.
1-3 Months
3-6 Months
6-12 Months
12 Months +
Lifestyle
Specific Deadline
Other
25
What are your KEY goals?* This field is required.
Fat loss
Pain Management / Rehabilitation
Overall Improved Health & Wellness
Mental Health & Mindset
Muscle Growth
Improve Metabolism
Exercise Technique & Form
Other
26
What is most important for you? (Top two)* This field is required.
Caring Trainer
Support and Accountability
Guidance and Learning
Private Environment
Tailored Training Around Injuries
Results
27
Image FieldWhat can your future look like?
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Are you looking to find out more about TFP and your training options?* This field is required.
YESNO
29
What days are you available to commit to training?* This field is required.Lets align our schedules together *Jo is currently not taking any new clients for 1:1 in person personal training sessions*
Please put me on the wait list for 1:1 in person sessions
I want online programming
Other
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Are you willing to commit, change habits and push to get the results that you want?* This field is required.
YESNO
31
We would like to invite you to a FREE 15 minute discovery call. When is the best time to contact you?When it comes to your health and fitness, we want to make sure that TFP is the right fit for you. This will allow head coach, Joanna, give you some direct help and show you how we work going forward.
AM (Between 7am and 9am AWST)
PM (Between 5pm and 7pm AWST)
DAY TIME (Between 9am-5pm AWST)
32
Thank you for your application.

CLICK SUBMIT

I will touch base within the next 48 hours (excl. weekends & public holidays) to have a chat.

I look forward to getting to know you!

Jo :)

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Want to know more about The Fitness Pursuit?

View our Google reviews and read what some of our beautiful clients have had to say about their experiences with us.

Follow us on social media @thefitnesspursuit_byjoannam
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