Lets Find Out About You
Please fill out this form to help us understand your fitness goals and needs.
Full Name
*
First Name
Last Name
D.O.B
*
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Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
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Email Address
*
example@example.com
Phone Number
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Please enter a valid phone number.
Format: 0400000000.
How do you like to be contacted?
Text
Call
Email
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What has brought you here today?
I want to feel confident in my body but I don't know if I'm doing the right thing
I don't have motivation
I have decision fatigue and I need someone to help make choices around my fitness
I've tried in the past but not had any results
I know I can do this and I just need the help to get there
My mindset needs rewiring, I need someone to remind me that I CAN DO THIS and look at the small daily wins
I'm new to exercise and putting myself first
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Main struggle on your fitness journey?
Anything that has stopped you from committing previously. eg. confidence, knowledge, commitment, time
What are your primary goals?
Lose weight
Improve endurance
Build muscle
Gain confidence
Increase flexibility
Get strong
Other
If you knew a coach could help you get the results you want, would you consider investing in coaching?
Yes
Depending on options and my budget
I'm not sure
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Have you had a Personal trainer before?
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Yes
No
If yes, what were your likes and dislikes of their service?
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How would you rate your current activity level?
Sedentary (little or no exercise)
Lightly active (light exercise 1-3 days/week)
Moderately active (moderate exercise 3-5 days/week)
Very active (hard exercise 6-7 days/week)
Other
What types of exercise do you enjoy or prefer?
Cardio (running, cycling, etc.)
Strength training
Yoga/Pilates
Group classes
Other
What days and times are you generally available for training?
Eg. Mon- Thurs usually between 6am and 10am. Sometimes on Saturday afternoons. I could commit to 3 sessions a week.
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How confident do you feel following a program unsupervised?
Easy peasy; I am committed to the plan
Not yet; I would need more guidance at the start
Do you have any major injuries or concerns that I should know about?
*
Lets get started!
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