Get In Touch Today!

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
2
What should we call you?* This field is required.Let’s make it easy to connect. (Input fields for contact details and preferences)
Full Name (Required)
Email Address (Where should we send your onboarding info?)
Phone Number (Only used if we need to confirm your session or consult.)
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)
3
What brings you to Teknique?Goals & Background
I want to get stronger
I’m stuck and want direction
I’ve had recurring pain or injury
I want to level up performance
I’m not sure—I just know I need something better
4
What does ‘better’ look like to you?* This field is required."Be honest. Doesn’t have to be perfect."
5
Any current injuries or areas we need to work around?Health & Preferences - "If not, just write 'none'."
Huge
Large
Normal
Small
Ok
Ok
6
What kind of support are you looking for?(Multiple choice)
One-to-one coaching
Performance testing
Strength programming
Rehab & return to play
Nutrition / mindset
Not sure yet
7
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")
8
Anything else you want us to know?* This field is required.what do you want to achieve? e.g., Lose weight, gain strength, feel more energetic, etc - if nothing, just write none.
9
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
10
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
11
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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