Personal Training Enquiry Form

1

Name* This field is required.

First Name

Last Name

2

Birth Date* This field is required.

3

Gender

Female

Male

4

Height* This field is required.

cm

5

Weight* This field is required.

kg

6

Body Fat %Leave blank if not known

7

What is your target bodyweight?Leave blank if not

8

Phone Number* This field is required.

Please enter a valid phone number.

9

Email* This field is required.

example@yofit.com

10

What is your occupation?

11

Which of the following statements fit in with your goals?* This field is required.

Improved health

Improved endurance

Increased strength

Increased muscle mass

Fat loss

Improved sport performance

Other

12

Which best describes your current diet?* This field is required.

Great! I just need help with my gym training.

Overall its okay, but there is definitely room to improve!

All over the place, i struggle with consistency!

I know i eat too much/little!

I have no idea where to start!

13

Are you currently a member of a gym?* This field is required.

YESNO

14

How experienced are you with resistance training?* This field is required.E.g weight training with the use of barbells, barbells, kettlebells...

I'm starting from scratch

All i do is cardio training

I know the basics

I'm not 100% sure on my technique

I know how to do most exercises

17

What type of coaching are you interested in?* This field is required.

Online Coaching

1-2-1 Personal Training

Hybrid Coaching (Both online & 1-2-1)

I'm not sure?

18

Do you have any injuries or diagnosed health conditions? If yes, please list below.* This field is required.If none then type N/A

20

Would you like a FREE PT taster session & consultation?!* This field is required.

YES PLEASE!NOT THIS TIME

21

Please select a time slot for a follow up call...If you wouldn't like to receive a follow up call, then leave this section blank.