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Welcome, Your First Step to Fitness Success Starts Here
.
Click Next to start the form. Let’s make this journey yours!
1
Are you ready to start improving your
Health and Fitness?
*
This field is required.
This is the first step—your commitment matters!
YES, Let's do this!
I'm exploring my options
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2
What’s the biggest
challenge
stopping you from reaching your fitness goals?
*
This field is required.
Tell us about any obstacles that might be holding you back e.g., Motivation, time management, confidence in the gym, etc.
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3
What does
success
look like for you in 12 months?
*
This field is required.
Imagine your future self—what do you want to achieve? e.g., Lose weight, gain strength, feel more energetic, etc.
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4
Tell us a bit about your
work
and
daily routine
.
*
This field is required.
Your lifestyle matters—this helps us personalise your programme..
Office Based
Long Hours
Work from home
Frequent Travel
High Stress
Low Stress
Other
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5
How would you
describe
your current fitness level?
*
This field is required.
Understanding your starting point helps us tailor your plan
Beginner ("I’m new to fitness or returning after a long break")
Intermediate ("I have some experience but need structure and guidance")
Advanced ("I’m confident but want expert coaching for my goals")
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6
What type of fitness training are you most interested in?
*
This field is required.
Share your interests so we can align your training with your goals (
Tick all that apply
)
Strength Training
Mobility/Flexibility
Weight Loss
Sports Performance
General Health & Fitness
Other
Return from Injury
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7
What’s the best way to
contact you
?
*
This field is required.
Let’s make it easy to connect. (
Input fields for contact details and preferences
)
Full Name (Required)
Email Address (Required)
Phone Number (Recommended)
Morning 9.30am-11am
Midday 12:30pm-2pm
Afternoon 4pm-6.30pm
Late 7.30pm-9pm
Please select the best time to contact you
×
Morning 9.30am-11am
Midday 12:30pm-2pm
Afternoon 4pm-6.30pm
Late 7.30pm-9pm
(Please make sure you are available for 30 minutes maximum)
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8
Where are you
located?
*
This field is required.
Knowing your location helps us better serve you.
Buckshaw Village
Chorley
Adlington
Blackrod
Heath Charnock
Coppull
Other
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9
We understand that now might not be the right time.
Sorry to hear you're not ready to commit to your health and fitness goals just yet. We're here when you're ready to take the next step. Feel free to revisit this form or get in touch when the time is right for you!
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10
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