Group PT Application Form

Group PT Application Form

Thanks for showing an interest in working with me! If you can take a few minutes to fill out this form it'll help me understand more about you. Once you've completed the form you'll be invited to book a 15 minute phone call to ask any questions & discuss whether the service is best suited to you.
Name*

First NameLast Name
Phone Number*
Email*
example@example.com
Tell me a bit about yourself? why are filling out this form today?*
How long have you been wanting to make changes to your lifestyle?*

6 Months1-2 Years2-4 Years5+ Years
How important is it for you to change? How much do you want it?*

1

2

3

4

5

6

7

8

9

10

1 is Not Fussed, 10 is It Means Everything
Have you ever set your own goals before and if so, what were they?*
Did you achieve them?*

YesGot some resultsSeen initial results but never stuck to itNo
What would you say are your main barriers to getting results?*

Lack of timeLack of motivationLack of knowledgeNot knowing where to startNot being able to stick to anything long termSocial life / weekendsWork commitmentsLack of supportFamilyOther
How would you rate your nutrition?*

1

2

3

4

5

1 is All over the place., 5 is I know what I'm doing.
Why did you choose that number? Please explain in more detail
In terms of exercise, what have you tried in the past?*

Gym classesOutdoor bootcampGym Cardio Machines (Treadmill, rower etc)Gym Weight MachinesFree WeightsWalkingRunningHome WorkoutsPersonal TrainerOther
When it comes to trying to achieve your goal, what do you feel like you need support with most?*

Accountability - Constant confirmation you're doing the right thingStructure - What to do and when to do itEducation - Knowing why and how to apply the principles into your lifeMotivation - Have someone support you through the processStaying consistent - Support to overcome barriersOther
What are you hoping to achieve from these Group PT sessions?*
How long do you think it'll take you to achieve that?*

3 months6 months9 months12+ months
The price is £149 for the 6 week challenge then £149pcm thereafter. Are you ready to invest this into achieving your goals?*

YesUnsureNo
Is there anything else you think I should know which will help me help you?*
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