Fitness Registration Form
Customer Details:
Full Name
*
First Name
Last Name
Date of Birth
Phone Number
*
Format: (000) 000-0000.
E-mail
example@example.com
Gender
Male
Female
How did you hear about us?
*
Please Select
Instagram
Facebook
Friend
Other
What is your primary fitness goal?
Weight Loss
Muscle Gain
Improved Endurance
Flexibility
Overall Health Improvement
How frequently do you want to exercise?
Less than one week
1-2 times a week
3-4 times a week
5 or more times a week
What is your normal level of activity?
Sedentary: No exercise and have a desk job
Exercise 1-3 days per week
Exercise 3-5 days per week
Exercise 6-7 days per week
Exercise multiple times a day or have a physically challenging job
What types of workouts do you enjoy the most?
Cardio
Strength Training
Yoga/Pilates
HIIT
Crossfit
What are your biggest challenges you face in maintaining a regular exercise routine?
How satisfied are you with your current fitness level?
very unsatisfied
Unsatisfied
Neutral
Very satisfied
What motivates you to stay committed to a fitness program?
Will you be willing to recommend us?
Yes
No
Maybe
How do you want to workout?
Home
Gym
Outside
What's your diet preference?
Please Select
Standard
Pescatarian
Vegetarian
Vegan
Do you have any injuries or physical limitations?
Submit
Should be Empty: