Tell me about you and your goals and i can recommend the best program suited to your goals.
Full name
First Name
Last Name
Where do you live?
COUNTY OR TOWN ONLY...
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Email
example@example.com
Where did you hear about us?
Please Select
Social Media
Google Search
Friend/Family
Recommended By Someone Else
Walked Past
Print Advert
Event
Other
Let's Get Going
Some basic lifestyle items first...
How good would you say your diet is?
1
2
3
4
5
How would you rate your rest/sleep?
1
2
3
4
5
How stressful is your job/lifestyle?
1
2
3
4
5
Keep Moving
Let's dive into the real support structures..
Out of 5, how fit do you feel now?
1
2
3
4
5
And how strong do you feel?
1
2
3
4
5
How important is it for you to create change?
1
2
3
4
5
What experience do you have in health & fitness?
None
Beginner
Intermediate
Advanced
Pro
How long have you been thinking about getting into some fitness
(or changing who you do your fitness with)
?
Less than 1 Month
1-3 Months
3-6 Months
6-12 Months
1-3 Years
3 Years+
What has stopped you from taking action?
Motivation
Time
Busy Lifestyle
Money
Procrastination
Me!
Other
What two of the below would you like to achieve?
Fitness Increase
Better Energy
Weight Loss
Strength Gain
Improved Mental Health
Skill Increase
Tone Up
Habit Creation
Lifestyle Adjustment
Other
Outline your main goal, your main reason for being here?
How important is your goal?
1
2
3
4
5
Do you have a timeline to achieve your goal?
What really motivated you to come here today?
Now at home with no gym
I want to try something new
You've been highly recommended
I want to try out online training
I don't know how to do this alone...
I have big goals!
Other Please Outline
Of the Below, what two are most important for you?
Community feel
Intense training
Coaching
Support & Guidance
Motivation
Equipment
Results
Other
Do you have any previous injuries i should be aware of?
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