Welcome

1

Name

First Name

Last Name

2

Email

example@example.com

3

Phone Number

Please enter a valid phone number.

4

Gender

Male

Female

Prefer not to say

5

Date of birth

Date

6

How active would you say you are currently

Not active at all

Light activity (walking)

Moderate activity (e.g gym once a week)

Highly active (gym 2/3 times a week)

Extremely active (gym 4/5 times a week)

7

When would you prefer to train in the gym?

Morning 6am-10am

Mid morning 10am-12pm

Early afternoon 12-5pm

Evening 5pm-8pm

Anytime

8

Please list any other activity you do other than the gym

9

Do you have any diagnosed illnesses or health conditions that we need to be aware of?

11

Timeline you would like to achieve your goals

12

How many sessions do you want with a personal trainer per week?

13

Have you had a personal trainer before?

14

Are you a member at PureGym?

15

Do you have a preference for your coach?

Celine (Female)

Jake (Male)

Isaac (Male)

I don’t mind :)