TRAIN WITH NAJAT
Thank you for your interest in my coaching. You are one step closer to taking full control of your health and I am all in it to help you achieve your goals. All details shared in this form is strictly confidential.
Full Name
*
First Name
Last Name
Gender
Female
Male
Prefer not to say
Email Address
*
example@example.com
Instagram Handle
Phone Number
*
Please enter a valid phone number.
Format: 0000-0000.
Occupation
Age, Height (cm) & Weight (kg)
Type of training you are opting for?
1 on 1 Private Training
2 on 1 Buddy Private Training
Private Group Class (with small group of your friends min 4 pax)
What are your primary fitness goals?
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Weight loss/fat
Muscle gain
Improved endurance
Improve mobility / flexibility
Build confidence at the gym
Learn proper form & technique
Recovery from injury (with approval from doc)
General fitness
Other
How would you describe your current activity level?
*
Sedentary (little or no exercise)
Lightly active (light exercise/sports 1-3 days/week)
Moderately active (moderate exercise/sports 3-5 days/week)
Very active (hard exercise/sports 6-7 days/week)
Other
Do you have any current or past injuries, surgeries done, medical conditions or limitations? Please be as specific as you can.
Have you worked with a personal trainer before? and if yes, please tell me how I can help serve you better.
Back
Next
Do you have any prior experience with strength training?
Yes
No
A bit here and there
When do you plan to start?
Which days/times would you most likely be available to train on? You may tick more than one.
Rows
Mornings(8am - 11am)
Afternoon(noon - 5pm)
Evening (6pm - 9pm)
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Where is your preferred training location? You may choose more than one
Private gym in Raffles Place
Condo/home/corporate gym in the North (Woodlands, Sembawang, Canberra, Yishun, Khatib) of Singapore
Condo/home/corporate gym in other parts of Singapore
Other
Thank you for filling this up!
I will contact you shortly! If I don't, do feel free to give me a message so I don't overlook your form!
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