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Teknique Enquiry Form
1
Are you
ready to commit
to your health & fitness?
*
This field is required.
YES
NO
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2
What's the biggest
challenge,
facing you right now?
*
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3
In
twelve months' time,
what would you need to have achieved for you to label working with us a success?
*
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4
Please
'describe'
best, your current work situation?
*
This field is required.
Please give us as much detail as possible; Office-Based, Work from Home, Long Hours, Car Travel Time, High Stress, Low Stress, High Demand..
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5
Where are you located?
*
This field is required.
Buckshaw Village
Chorley
Adlington
Blackrod
Heath Charnock
Coppull
Other
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6
How best,
can we contact you?
*
This field is required.
Please leave your contact details below and a member of the team will reply soon.
Please enter your full name
Please enter your email address
Please enter your phone number
Morning 9.30am-11am
Midday 12:30pm-2pm
Afternoon 4pm-6.30pm
Late 7.30pm-9pm
Please select the best time to contact you
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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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7
Sorry to hear you're not ready to commit to your health and fitness goals just yet.
We're currently focused on helping our clients become the best versions of themselves. Our community thrives on enjoying exercise and doing better each day. If you change your mind or want to discuss our services in more detail, simply fill out the form again, and we’ll be ready to help you commit to your goals.
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