Trogen Taster Questionnaire

Trogen Taster Questionnaire

Complete our short survey to receive your free taster session!
Name

First NameLast Name
D.O.B

DayMonthYear
Date
Gender
Phone Number
Please enter a valid phone number.Format: 00000-000000.
Emergency Phone Number
Please enter a valid phone number.Format: 00000 000000.
Email
Example@example.com
Address

Street Address

Street Address Line 2

CityCounty/ Region

Postal / Zip Code
What physical activities do you already participate in?

Other
Please specify the specific classes/activities you participate in
How many times per week do you currently exercise?
Do you attend a local Gym? (Tick all that apply)
How would you rate your overall physical fitness?

1

2

3

4

5

6

7

8

9

10

1 is Really Not Great, 10 is Fantastic
What are your strengths and weaknesses?
Please describe your physical fitness goals - Where do you want to go?
What are you looking for from your Bootcamp session? (Tick all that apply)
How did you hear about us?

Other
If your friend attended a session and recommended us, let us who they are! Their help is appreciated. (If applicable)

First NameLast Name
Who referred you here today?
Thank you for answering our questionnaire!

Your time and effort is appreciated. One final question for you.
When would you like to use your free session?
Should be Empty:

Thank you for answering our questionnaire!