HoughFit Enquiry Form
Customer Details:
Full Name
*
First Name
Last Name
What is your WhatsApp? If not then any social media that I can contact you on
What year were you born in? (So I can tailor your program and recovery properly)
Do you currently have access to reasonably heavy dumbbells at home?
Yes
No, but willing to buy if you help me find the best deal
No
I have a gym membership
What made you decide to reach out right now? Tick as many as you want
Tired of feeling like I have to much body fat
Feel weaker than I want or used to feel
Feel tight and not very mobile
Not happy with my posture
Feel low energy and know training and diet helps
Don’t feel fit or healthy
Other
Please add details if you have anything more to say (if not put a /)
If nothing changed, how would you feel 3 months from now?
What would your ideal body, fitness, lifestyle look or feel like?
What do you feel has been holding you back from this?
Which bests describes your current diet
I eat fairly well but not consistently
I know what to do but don’t stick to it
Im confused about what to eat
I don‘t pay attention to it
Had any Injuries that would affect training?
Ankles
knees
Hips
Lower back
Shoulders
Elbows
Wrists
Other
What does a typical week look like for you? (Eg 40hrs work, family, commitments)
If you had the right plan and accountability, are you ready to commit to making a change?
Yes
I think so
Not sure
Submit
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