Pre screening
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Date of birth
*
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Day
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Month
Year
Date
What are you mainly looking for from personal training??
What specifically has to happen in the next 12 months for you to be over the moon
What is the current reality to this happening
no where near
1
2
3
4
5
6
7
8
9
already done it
10
1 is no where near, 10 is already done it
What has held you back
How happy are you with your current body
hate it
1
2
3
4
5
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7
8
9
very happy
10
1 is hate it, 10 is very happy
how can we can close this gap in the next 3 months?
What best describes your approach to training??
I make excuses and look for easy way out
I procrastinate and never commit to change it
I want quick results and get bored easy
How much have you invested so far in to your goals?
so gym membership personal training diets
When are you available for a consultation
-
Day
-
Month
Year
Date
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