Application Form - Semi Private Group Sessions
Please fill out your onboarding form in as much detail as possible below.
Name
*
First Name
Last Name
DOB
*
-
Month
-
Day
Year
Date
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Gender
*
Occupation
*
Height
*
Current Weight
*
What are you Current Long & Short-term Goals? Please be as specific as possible (amount, reason, timeframe etc)
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What are the current biggest blockages / mental limitations you're facing that are keeping you stuck? (for example, any limiting beliefs that you repeat to yourself daily like 'I can't change because of X')
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What is your current level of Physical Activity? (1 being poor & 10 being extremely active)
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Do you have any injuries, illnesses or any other constrains (current or previous) which may interfere with your ability to carry out an exerciseprogram? (including past surgeries, conditions etc)
*
What would you rate your level of experience with training in a gym?
*
Please Select
No experience
a little experienced
Moderately experienced
experienced
Athlete / Competitor Level Experience
Are you currently performing any form of exercise? If yes - what? (please list duration, level of intensity and frequency)
*
Please detail your training history (whether that be inside or outside of the gym) This may include - resistance training, boot camps & classes, personal training, team sports etc.
*
Please list any medications that you are currently taking below.
*
Do you currently smoke cigarettes or have previously been a smoker?
*
Do you have any questions or information that you think is important for us to know about you?
*
Submit
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