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Full name
Email address
Date of birth
Phone Number
Gender
Female
Male
Prefer not to say
How long have you wanted to achieve these goals?
What have you tried so far to help you get there?
What do you think has stopped you from getting to your goal?
Why would you like one of the spaces?
What’s your long term health and fitness goal?
Why is it important for you to get these results?
Where did you hear about us?
Facebook
Instagram
Tik Tok
Google Search
Word of Mouth
Newspaper or magazine
TV or Radio
Drove or walked past
When are ready to start training?
ASAP
September 2024
October 2024
November 2024
December 2024
Jan 2025
Feb 2025
March 2025
What’s your total body health and fitness goal?
Change body fat
Increase strength
Increase energy
Feel better
Boost confidence
Gain muscle
Improve performance
Set better example for family or kids
How committed are you to achieving these results? (on a scale of 1-10, 1 being not at all committed, 10 being extremely committed)
1
2
3
4
5
6
7
8
9
10