Personal Training Enquiry

1

Name

First Name

Last Name

2

Email

example@example.com

3

Phone Number

Please enter a valid phone number.

4

How long have you wanted to make changes to your lifestyle?

Less than a year

1-2 years

2 - 3 years

More than 3 years

5

How important is it to you that you make these changes?Select an option from the drop down list

6

Have you set fitness goals before?

YESNO

7

If you set goals before, did you achieve them?

Yes

Partially

No

I haven't set goals before

8

What do you think the main barriers to achieving your goals will be?You can tick more than one answer

Time

Motivation

Family commitments

Work Commitments

Social life

Unsustainable plan

Other

9

What is your current activity level?

Sedentary - little or no exercise, sit a a desk all day

Lightly Active - a little active and exercise 1-3 times a week

Moderately Active - active every day and exercise 3-5 times a week

Very Active - highly active every day and exercise 5-7 times a week

10

How would you describe your current diet?

11

Do you have experience of the gym and if so, what equipment/classes have you used?

12

What kind of exercise/activity do you enjoy?

13

What kind of exercise/activity do you dislike?

14

What are the main things you hope to get out of personal training?

15

How long do you think it will take to achieve your current fitness goals?

3 months

6 months

1 - 2 years

More than 2years

16

Is there anything else you think would help me understand more about you and your goals?