Enquiry Form

1
First name* This field is required.
2
Last name* This field is required.
3
Gender* This field is required.
Male
Female
Other
4
Email address* This field is required.
example@example.com
5
Phone number* This field is required.
6
What is your current work situation?* This field is required.
7
You understand that our packages start from £56.00 per week?* This field is required.
Yes, I understand
No, I don't understand
8
Is there anyone else other than you, that's a part of the decision making process as to whether we work together or not?* This field is required.
Yes, my partner
Yes, a family member
No, I'm the sole decision-maker
9
Which options are most relevant to you?* This field is required.
I've ensured my partner supports my decision
I've agreed a top line budget with my partner
I've ensured my family member supports my decision
I've agreed a top line budget with my family member
I'm the sole decision-maker, and no one else is involved in making this decision
10
Why is it so important for you to take control of your health and fitness? - please be detailed with your answer.* This field is required.
11
Why is now the right time for you to make a change? What's prompted you?* This field is required.
12
In 12 months time, what would you need to have achieved in order for you to label working with us a success?* This field is required.
To have dropped body fat, built muscle and tightened up all over
To be able to wear any clothes I want comfortably
To have improved body confidence
Being physically stronger and fitter
To have the knowledge and understanding of how to exercise independently
Being able to inspire others with my progress
To have the knowledge and understanding of how to eat the foods I love without feeling guilty or putting on fat
All of the above
13
How much of a priority is this to you right now and are you wanting to get started right away?* This field is required.
1
2
3
4
5
Not really a priority, just looking around
High priority, I need to get started right away
14
What makes you think you would be a great client?* This field is required.
15
Have you had any previous coaching before?* This field is required.
16
Where did you hear about us?* This field is required.
Facebook
Instagram
Your website
PureGym website
I attended your PureGym class
Friend
Family
17
Lastly, who do you want your main coach to be?* This field is required.
Jared
Nitin
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