Inquiry Form

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✍🏻 What is your name?* This field is required.
Forename
Surname
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🧑‍🤝‍🧑 What is your gender?* This field is required.
Male
Female
Other
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📅 What is your date of birth?* This field is required.
Day
Month
Year
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📌 What is your email address, social media account usernames or phone number? 👇🏻 Please type your preferred contact approaches: email address, social media account, or phone number. Only 1/3 are required, any contact approaches you don't want to reveal please type "N/A" in the boxes.
✉️ Email Address
📞 Phone Number
📱 Social Media Account
5
💪🏻 What are your aspirations?* This field is required.
Weight Management (Increase/Decrease Body Weight)
Body Composition (Gain Muscle Mass/Reduce Body Fat)
Develop Muscle Tone
Build On Body Confidence/Mental Health
Improve Healthiness/Lifestyle
Enhance Performance (Strength, Power, Endurance)
Other
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🧠 What is your level of experience in a gym?* This field is required.
Beginner - 1 - 6 Months
Intermediate - 7 Months - 1 Year+
Advanced - 2 Years+
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💓 Are there any medical conditions I should be aware of?• Injuries? • Illnesses? • Diseases? • Accidents? • Incidents? • Prescribed Medications? • Dietary Supplementation? 💬 Please be elaborative and specific. 🏥 If necessary, seek medical assistance from your General Practitioners (GPs) or from qualified medical professionals. ⏩ If you don't have any medical conditions, please type "N/A" and press "Next".
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🖨️ Which package appeals to you?📝 Services: • FREE 20-Minute Consultation • FREE 45-Minute Taster Session • Weekly Accountability Check-Ins • Health Screening & Risk Stratification Assessments • Biometric & Anthropometric Measurements • Nutrition/Supplement Advise & Guidance • Tailored Training Program • Professional Application Tracking • Online Communication • Group Chat & Voice Calls
1 - 1 Face-To- Face Taster Session - £15.00 / 30 Minutes
1 - 1 Face-To-Face Personal Training - £25.00 / 1 Hour
Face-To-Face Group Workouts - £30.00 / 1 Hour
Tailored Training Program - £50.00
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💳 Which payment method is ideal for you?* This field is required.
Cash
Debit Card
Online
10
🥜 What is your nutrition?• Do you know the number of calories you consume daily? • Do you know the number of meals you consume daily? • Do you know the micronutrients/macronutrients you consume daily? • Are you in a calorie deficit, a calorie surplus or a maintenance period? • What foods/drinks do you like or dislike? • Are you allergic to any foods or drinks? 💬 Please be elaborative and specific. ⏩ If you're have difficulties answering any of the questions, please type "N/A" in the box and press "Next".
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⏱️ What is your availability schedule?* This field is required.• Are you employed? • What days and times do you work weekly? • Do you know the number of times you workout in the gym weekly? • What days, times, and time of day do you tend to be available weekly? 💬 Please be elaborative and specific.
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✍🏻 What time and date do you want to book your consultation?* This field is required.💡 Upon receiving your inquiry form submission, booking your consultation will be an opportunity for you to learn about the services and packages I offer and provide, to meet your requirements and design your tailored training program! 🤝🏼 The consultation's location will be based at PureGym Grimsby, face-to-face, and will only require 20-minutes of your time! ⌚ Please select a time and date which is suitable based on your availability schedule.
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👉🏻 Do you have any questions?💬 Whether it surrounds health, fitness, training, nutrition, etc, any questions you have in mind will be answered via email, social media, mobile phone, or text.
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🚨 Terms & Conditions* This field is required.✍🏻 Contract Acknowledgement & Signing: • Onboarding as a client will require you to acknowledge and sign an 8 - 12 week contract. • If you decide to cancel your 8 - 12 week contract during the timeframe, any payment which requires transacting will be owed regardless. ⚠️ Cancellations: • Cancellations should be made at least 24 hours in advance of a scheduled session. • Sessions cancelled in the timeframe of 6 hours or below will be charged the amount owed by the client, depending on the circumstances. ⌚ Punctuality: • Sessions will not be extended (unless additional time is available) due to tardiness arrivals of the client or due to interferences caused by the client. 🧠 Characteristics: • Consistency, determination, and commitment are ideal attributes to possess, otherwise the results you seek won't be measurable. • Will you invest your time and do whatever is necessary to ensure that your aspirations are achievable? 🗄️ Confidentiality: • The answers to the questions on this inquiry form, and any other logged information and details under any circumstances will be kept private.
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