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VR COACHING - PERSONAL TRAINING ENQUIRY FORM
GET IN TOUCH BY COMPLETING A FEW SHORT QUESTIONS...
10
Questions
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1
WHAT IS YOUR FULL NAME?
*
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First Name
Last Name
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2
WHAT IS THE BEST CONTACT NUMBER TO REACH YOU ON?
*
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Area Code
Phone Number
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3
WHAT IS YOUR GOAL?
*
This field is required.
Choose as many as you like
Weight Loss
Muscle Gain
Healthier Lifestyle
Improve Fitness
Increase Self-Confidence
Reduce Stress
Boost Energy Levels
Other
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4
WHAT IS PREVENTING YOU FROM ACHIEVING THIS GOAL/GOALS CURRENTLY?
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5
WHY DO YOU WANT TO WORK WITH VIC (VR COACHING) AS YOUR PERSONAL TRAINER?
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6
DO YOU HAVE ANY INJURY CONCERNS?
*
This field is required.
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7
HOW MANY TIMES A WEEK CAN YOU TRAIN?
Please Select
1-2
2-3
3-4
5 +
Please Select
Please Select
1-2
2-3
3-4
5 +
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8
WOULD YOU LIKE SUPPORT WITH NUTRITION OUTSIDE OF 1:1 PT?
Please Select
Yes
No
Maybe
Please Select
Please Select
Yes
No
Maybe
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9
DO YOU SMOKE?
YES
NO
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10
WHAT IS YOUR EMAIL ADDRESS?
*
This field is required.
example@example.com
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