SCULPT CONSULTATION FORM

SCULPT CONSULTATION FORM
What to expect during your consultation with us
1. Initial discussion and Goal setting for your weight loss.
2. Building of a timeline in accordance to your weight loss
3. Fitness Assessment
4. Explaining our workout plans and approach towards a sustainable weight loss
5. Trial workout session
6. Body Composition Test
May i have your full name please ? *

First NameLast Name
Age*
Phone Number*

Area CodePhone Number
Email*
example@example.com
How much of Weight Loss are you looking for?*

5KG10KG15KGMORE THAN 20KGOther
Gender*

FemaleMaleOther
What is your Target Timeframe to achieve this goal?*

2 months4 months6 monthsA Year
Packages available at Sculpt
Which Package best suits you

10L20L30L
Preferred day for Consultation

MonthDayYear
Date
190 Ang Mo Kio Ave 8, #01-03 The Grassroots' Club, Singapore 568046

We are located inside Grassroots Club, 5 mins walk from Yio Chu Kang mrt station.
Should be Empty: