TWD Application Form

I'm so glad you are here and are taking the first step towards making a change to how you look and feel.

I love helping people but to do this, I need to ensure that you are serious about working towards getting the results you really want to see.

So please take a few minutes to complete the form below to give me an idea of where you are right now and what your goals are.

I can then decide if I am the right coach for you and will be in touch.

Name *

First Name Last Name

Gender

Age

Email *

example@example.com

Instagram Name (optional)

Phone

Area Code Phone Number

What is your current fitness goal right now?

To lose fat To gain muscle/tone up To improve my overall fitness To maintain how I look

Choose from one or more of the above and use this section to expand a little if you wish.

Why is this so important to you?

What is your biggest frustration/challenge right now when it comes to getting results?

Which of the following best describes where you are right now in your fitness journey?

I am a complete beginner/I have not exercised for years I am doing some exercise but have stopped seeing results I exercise regularly but am looking for guidance and accountability I have a good level of fitness but want to move to the next level

Choose from one or more of the above and use this section to expand if you wish.

What exercise programmes have you considered/tried before/or are currently following (if any)

How many days a week do you currently workout (if any)?

Once a week 1-3 days per week 3-5 days per week 5 or ore days per week I don't do any exercise currently

Tell me what exercise you have tried before that you enjoy (if any)?

What are you looking to achieve from working with me over the next 3-6 months?

On a scale of 1 to 5, how committed are you to achieving your fitness goals?

1

2

3

4

5

1 is Not sure, 5 is 100% ready to commit

Which of my services are you interested in?

Face to Face Personal Training Online Personal Training Both of the above 28 Day Home Fitness Challenges

For face to face personal training sessions, what days and times are you available?

Do you have anything to add?

What time most suits you for a telephone conversation?

11am 1pm 6pm