Online NAP

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Full Name* This field is required.
First Name
Last Name
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Phone Number* This field is required.
Area Code
Phone Number
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Email* This field is required.
example@example.com
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Where did you hear about us?
Social Media
Google Search
Friend/Family
Recommended By Someone Else
Event
Other
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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!
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Are you aware of any medical history that might affect your ability to participate in exercise and/or currently taking any medications?
YESNO
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If YES, please elaborate.
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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
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How good would you say your diet is?Nutrition is one of the cornerstones of health...
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2
3
4
5
Poor
Very well-balanced
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How would you rate your rest/sleep?
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2
3
4
5
Inconsistent and 3-6 hour range
Consistent and 8+
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How stressful is your job/lifestyle?
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2
3
4
5
Very stressful
Not too stressed at all
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Out of 5 how fit do you feel now?
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2
3
4
5
Not fit
I feel great
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How important is it for you to create change?
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2
3
4
5
Not important
Very!
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Are you currently exercising?
No Exercising Weekly
1 time per week (most weeks)
1-2 Times weekly
3-5 Times Weekly
5+ Times Weekly
Other
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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
Other
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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)
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What's stopped you from taking action before?
Time
Money
Busy Lifestyle
Procrastination
Location
Other
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Is this issue resolved or almost resolved?We presume it is, seeing as you are here today!
YESNO
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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
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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
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Why is this your big goal?What about this matters so much?
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How important is your goal?Having a clear goal is important to success.
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2
3
4
5
Not at all
Extremely
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What is most important for you? (Top two)
Coaches that care
Support and accountability
Motivating team
Guidance and education
Training around injuries correctly
Other
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Which Friend or Family Member comes to mind?Grab their name and number and secure their VIP guest pass today!
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