Inquiry Form
Welcome — I’m so glad you’re here. This form helps me get to know you, your goals, and what support you need right now. Whether you’re brand new to the gym, rebuilding confidence, or navigating pregnancy or postpartum, I’m here to guide you safely and help you feel strong in your body again. Take your time, answer honestly, and I’ll be in touch soon with your next steps.
Personal Details
Full Name
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First Name
Last Name
Contact Details
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Phone Number
Email Address
Preferred Contact Method
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Email
Instagram DM
Text Message
Date Of Birth
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Month
-
Day
Year
Date
Injuries and Medical Issues
Do you have any past or current injuries?
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Do you have any medical conditions I should be aware of?
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Are you currently taking any medications that may affect training?
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Training Goals
What are your main goals right now? (Tick all that apply)
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Fat Loss
Muscle Gain
Improve Fitness
Build Confidence In The Gym
Pregnancy Safe Training
Postpartum Recovery
Strengthen Core/ Pevlic Floor
Improve Mobility
Other
Tell me more about your goals in your own words.
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Training Experience
Type a question
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Beginner
Intermediate
Advanced
Have you worked with a personal trainer before?
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Yes
No
How many days per week can you realistically commit to training?
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1 - 2 Days
3 - 4 Days
5+ Days
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Availability and Training Style
What Type of Training Are You Interested In?
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Please Select
Face to Face PT
Online Coaching - At Home workouts
Online Coaching - In Gym Workouts
Pregnancy Training
Postpartum Training
What Days Are You Available?
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Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
What Time of Day is Best for You To Train?
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Early Mornings
Mid Mornings
Midday
Early Afternoons
Late Afternoons
Evenings
Budget and Commitment
Which Option Best Describes Your Budget For Coaching
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Please Select
I'm ready to invest in myself
I'm exploring options
I'm on a tight budget but want to chat
How Committed are you to Achieving Your Goals?
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Please Select
100% - I'm Ready
75% - I want to start but need guidance
50% - I'm thinking about it
25% - Unsure and need more information
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Pregnancy and Postpartum (If Applicable)
Are You Currently Pregnant or Postpartum
Pregnant
Postpartum
How Many Weeks Pregnant / Postpartum are you?
Have You Been Cleared for Exercise by Your Healthcare Professional?
Yes
No
Any Pregnancy Related Symptoms or Concerns I Should be Aware of?
Final Notes
Is There Anything Else You'd Like Me To Know?
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