Online NAP

1
Full Name* This field is required.
First Name
Last Name
2
Phone Number* This field is required.
Area Code
Phone Number
3
Email* This field is required.
example@example.com
4
Where did you hear about us?
Social Media
Google Search
Friend/Family
Recommended By Someone Else
Event
Other
5
What best describes your experience?
Have had multiple coaches, tracked macros and confident in most exercises.
No PT, but I have completed online programs and some nutrition tracking.
No PT and online programming, I have been training on my own.
More group training only.
Complete training and nutrition newbie!
6
Are you aware of any medical history that might affect your ability to participate in exercise and/or currently taking any medications?
YESNO
7
If YES, please elaborate.
8
Do you experience any injuries and/or discomfort in your daily activities?E.g. Back pain, shoulder discomfort, ankle injury, knee pain
Huge
Large
Normal
Small
Ok
Ok
9
How good would you say your diet is?Nutrition is one of the cornerstones of health...
Poor
Very well-balanced
10
How would you rate your rest/sleep?
Inconsistent and 3-6 hour range
Consistent and 8+
11
How stressful is your job/lifestyle?
Very stressful
Not too stressed at all
12
Out of 5 how fit do you feel now?
Not fit
I feel great
13
How important is it for you to create change?
Not important
Very!
14
Are you currently exercising?
No Exercising Weekly
1 time per week (most weeks)
1-2 Times weekly
3-5 Times Weekly
5+ Times Weekly
15
What motivated you to apply today?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 gyms
Due to injury
Mental Health
16
How long have you been thinking about getting into some fitness?
1-3 Months
3-6 Months
6-12 Months
1-3 Years (or more)
17
What's stopped you from taking action before?
Time
Money
Busy Lifestyle
Procrastination
Location
18
Is this issue resolved or almost resolved?We presume it is, seeing as you are here today!
YESNO
19
What two of the below would you like to achieve?
Fitness Increase
Sports or competition
Weight Loss
Strength Gain
Improved Health (Mental/Physical)
Tone Up
Lifestyle Changes
20
Outline your main goal below.Let's create some specific goals to achieve.
E.g. 10 push ups, improve mental health, learn to barbell squat
21
Why is this your big goal?What about this matters so much?
22
How important is your goal?Having a clear goal is important to success.
Not at all
Extremely
23
What is most important for you? (Top two)
Coaches that care
Support and accountability
Motivating team
Guidance and education
Training around injuries correctly
24
Which Friend or Family Member comes to mind?Grab their name and number and secure their VIP guest pass today!
Should be Empty: