Personal training enquiry form
Name
*
First Name
Last Name
Email
*
example@example.com
Gender
*
Male
Female
Non-binary
Other
What is your age?
*
What is your height?
What is your weight?
*
What service do you want provided? (Diet & Caloric advice provided with all plans. No diet plans)
*
1-2-1 Personal Training
Online coaching
Partner sessions
Custom Training plan
Which of the below best describes your goal you wish to achieve?
*
Weight loss
Decrease body fat
Increased muscular mass
Learn how to box
Improve strength
Improve overall fitness & Health
Improve sport specific conditioning
Boxing/circuits for fitness
Other
If you said other then please specify here OR Feel free to elaborate on your above options?
List any physical activities you previously or currently partake in?
Give me a rough breakdown of your diet & calories if you can? I usually recommend telling me a good day of eating at work? A good day of eating while not at work? & a Bad day of eating? Rough breakdown of breakfast, lunch, dinner, supper & snacks you have’s
Any medical conditions? Or medications taken please list here:
*
What days & times would suit you for training? Or for check ins?
*
On a scale of 1-10 how ready are to make a change? 1- being not at all & 10 - being that are you fully ready to commit & make a change?
*
Not ready to change
1
2
3
4
5
6
7
8
9
Ready to change
10
1 is Not ready to change , 10 is Ready to change
I am £30 per session, this covers your session, app use which provides you with ability to track your workouts, workout plans & exercise demonstrations by myself and the ability to message myself and get a reply within 24-48 hours✅ Do you acknowledge this?
*
Yes I understand.
Time to make a change
Submit this & I will do my best to get back to you as quickly as I can with regards to the package you have picked
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