Consultation Waiting List

1
What is your gender?* This field is required.
Female
Male
2
What are you looking for?* This field is required.
QUICK FIX
LONG TERM SOLUTION
3
You are interested in joining because?* This field is required.
I WANT A MEMBERSHIP CARD
I WANT RESULTS
4
Which best describes your approach to health & fitness?* This field is required.
I AM COACHABLE AND CAN FOLLOW INSTRUCTIONS
I FEEL I HAVE ALL THE ANSWERS
5
Name* This field is required.
First Name
Last Name
6
Age* This field is required.
7
Email* This field is required.
example@example.com
8
Phone Number* This field is required.
9
Why do you want to take part in this programme?* This field is required.
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Ok
Ok
10
Is there anything physically that you cannot do that you always wished you could?* This field is required.
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Ok
Ok
11
Why is now the right time to start your transformation?* This field is required.
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Ok
Ok
12
This is a customised body transformation programme and not a standard gym membership. Are you ready to work with our coaches to get results?* This field is required. 1. We will coach you step by step and show you exactly what you need to do in the gym to achieve your goals. Are you ready to work with a Transformation Coach? 2. Our Nutritionists will create a bespoke nutrition plan for you to ensure the best results. Are you ready to follow your personalised meal plan? 3. To make sure we cover all the basis for your successful body transformation, we will need you to be committed to the process and follow the lead of our Lifestyle Coaches for best results. 4. The programme is designed to get you amazing results in as little as 12 weeks. Costs vary depending on your individual needs and goals, which will be discussed during your consultation.
YES, I’m ready to work with a transformation coach
NO, I’m looking for a standard gym
13
On a scale of 1-10 how important are these goals to you?* This field is required.
14
In what time frame would like to achieve your goals?* This field is required.
3 months
6 months
12 months
15
Are you willing to invest TIME, EFFORT and FINANCES to get the RESULTS you want?* This field is required.
YES
NO
16
How did you first hear about Re-Shape?* This field is required.
Social Media
From A Friend
Google Search
Online Article
17
Terms & Condition* This field is required.
18
Please choose your preferred location 👇🏼* This field is required.
Colchester
Ipswich
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