Welcome

1

Let's start with your name!Please include both your first and last name :)

First Name

Last Name

2

How would you prefer me to reach out to you?please put below your email address, social media handle or phone number for text communication. note: if you put social media and you are on private please accept my request otherwise I am unable to contact you

3

Which program do you think suits you most?if you are not sure no stress! we can decide together

home program

gym program

postpartum

I'm not sure yet

4

When do you want to start?we have two intakes this time around! if absolutely needed we can alter this for you slightly, let me know if the question box if this is the case!

Monday Feb 2nd

Monday Feb 16th

Other

5

What is your main goal heading into this program?

weightloss

muscle gain

to build strength

to gain fitness

returning to exercise (postpartum)

6

Do you have any relevant injuries/conditions that may affect your ability to complete this program?

YESNO

7

Are you interested in accessing a screening session?Ideal for if this is your first program, first time in the gym or lacking confidence. This is a 30 minute session with me in Angle Vale. This can be completed any time prior to starting and is complimentary. Note: this is not a personal training session. this is looking at any exercises you are unsure of and answering any questions you may have in person. please note this is subject to availability and can only be conducted on Tuesdays/Thursdays.

YESNO

8

Do you require a payment plan? Select below your preferred payment scheduleAll payments are taken via automatic direct debit :)

No, $349 upfront

Yes, $35 per week

Yes, $70 per fortnight

Not sure yet

9

Do you have any questions for me when I reach out?Thats it from me! You will hear from me directly soon :)