Name
*
First Name
Last Name
Email
*
example@example.com
Which Location
*
Please Select
Charge CrossFit Northcote
Charge CrossFit Reservoir
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Best time to contact you
Morning
Lunchtime
Afternoon
Evening
UTM source
UTM medium
UTM campaign
UTM content
UTM term
Where do you live or work most days?
Within 10 minutes of Northcote / Preston / Thornbury / Reservoir
Within 20 minutes of there
Further away / not sure
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Which best describes your current training?
I’m not really training at the moment
I walk / do home workouts sometimes
I train 1–2 times per week at a gym or studio
I train 3+ times per week
Have you done CrossFit or group training before?
Never
I did CrossFit, but it’s been over a year
I’ve done CrossFit in the last 12 months
I’ve done other group training (F45, bootcamp etc)
Other
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What’s the main result you want in the next 6 weeks?
Feel fitter and have more energy
Lose body fat / feel better in my clothes
Get stronger
Build a routine and stay consistent
Other
If we find the right spot for you, when would you ideally like to start?
In the next 7 days
In the next 2–4 weeks
In the next 1–3 months
I’m just researching / not sure yet
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What’s your biggest hesitation about starting something like this?
Time / schedule
I’m worried I’m too unfit or will get injured
Cost
I'm not sure I'll stick with it
Other
Right now, are you in a position to invest in your health and training if we find the right plan for you?
Yes, I’m ready to invest to feel better
I’d need to work around a budget
No, I can’t invest right now
How many times per week could you realistically train at Charge CrossFit?
1 time per week
2 times per week
3 times per week
4+ times per week
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