Enquiry Form
Interested in training with Zak? Fill this out and I'll be in touch.
Name
*
First Name
Last Name
Email
*
example@example.com
Instagram handle
*
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
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About You
Age
*
Occupation type
*
Please Select
Desk-based
Active
Mixed
How did you hear about me?
How did you hear about me?
*
Instagram
Referral
Gym
Other
Training Preferences
What brought you to enquire now?
*
Main goal
*
Timeframe (if any)
Previous experience with gyms or personal training
What's held you back from training before?
Preferred type of training
*
Please Select
Strength
Cardio
Mobility
Mixed
Other
Preferred training days
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Preferred time of day
*
Morning
Afternoon
Evening
Anything else you'd like me to know?
Are you currently taking any medications that could affect your training?
*
If no please state
Do you have any current or past injuries or medical conditions I should be aware of?
*
If no please state
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Goals & Motivation
What is your biological gender?
*
What is your height (feet/inch)?
*
What is your current weight (kg)?
*
How active is your current day?
*
Lightly active (4-8k steps)
Active (8-12k steps)
Very active (12k+ steps)
How often do you exercise (30+ mins)
*
Little/no exercise
1-3 times a week
4-6 times a week
Daily / physical job
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Training Preferences
What is fitness goals
*
Weight loss
Muscle Gain
Strength improvement
Endurance
Other
Short term goal (3 months)
*
Long term goal (6-12 months)
*
If unsure leave blank
How do you feel about accountability? Would you like regular check-ins or progress updates?
*
What type of training do you prefer (e.g., strength, cardio, flexibility, etc.)?
*
What type of programming would you like?
*
Please Select
Online coaching
1-2-1 Coaching
2-2-1 Coaching (with a friend)
On a scale of 1-10, how committed are you to achieving your fitness goals?
*
Please Select
1
2
3
4
5
6
7
8
9
10
Is there anything else you’d like me to know to help you achieve your goals?
*
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