New Studio Enquiry Form

Youtube
Our Fitness Nutrition Appraisal is designed to give our team more information to help you achieve your goals. It is intended for those enquiring about becoming a member at BVPT. Please watch this before continuing through the form.*

Yes, I have watched the video

Your Personal Details

So we can better understand your goals, please provide us with some information about you.
Surname*
First Name*
Date of Birth*

DayMonthYear
Email*
Mobile Number*
How did you hear about us?*

GoogleSocial MediaStudio LocationWebsitePilates BarossaFriend/Relative is a MemberOther
If a friend or member referred you here, who was it so we can thank them!
Have you worked with a PT previously?*

YesNo
If you answered yes, what did you feel worked really well for you, and what was something you didn't enjoy?

Your Goals

Please tell us what you would like to achieve in your time with us. Do not think to hard, answer quickly but truthfully. In order of us to provide the best service possible, it is important that we understand every detail about you and your health.
How happy out of 10 are you happy with your current shape?*
What are you trying to achieve?*

Lose Body FatTone UpIncrease FitnessIncrease StrengthIncrease Wellness
Please describe in more detail WHY these goals are important to you?*
Why have you chosen to take action TODAY? What is different?
How important out of 10 is it for you to achieve this goal?*
What is your time frame for achieving this goal?*
How often are you available to train at Barossa Valley PT?*

Less than once a week1-2 times per week3-4 times per weekMore than 4 times per week

Your Personal Details