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So ..... where's your favorite holiday destination ;-) *
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What are your main fitness goals? *
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On a Scale of 1-10 How good will you feel when you reach your goal? *
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Today' date
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Full Name *
Phone number *
Email *
Location *
Date of Birth *
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What is your preferred method of communication? *
How did you find out about us? *
Do you have any previous medical conditions that would prevent you for participating in our program *
if Yes please explain
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Can I ask what it is you have struggled with the most ? *
What is your main motivator? *
Why now? *
How do you prefer to be motivated? *
Do you suffer with fatigue ? *
If you answered yes how does this effect your lifestyle?
How would you rate your current Mental Health *
Not great
Top of my game
If you didn't answer 10 what do you attribute is the route cause of your lowered score?
Do you suffer with Anxiety? *
If you answered yes, how does it affect your lifestyle
Are you currently exercising? *
If answered yes to the previous question, what does your current exercise routine look like?
Rate your current physical condition *
How tall are you? *
Current weight? *
Weight 2 years ago? *
Do you eat fast food much ? *
How often do you drink Alcohol? *
How often do you miss breakfast? *
Do you get enough sleep? *
Whats your occupation?
Shift Pattern?
What are your 6 month goals? *
How can I help ? *
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My Group PT sessions run ONLINE @ 6:30 pm Monday and 10 am Saturday do these times work for you? Don't worry if not, I have options ;-) *
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If you answered no to the above what times would work for you?
Are you happy to confirm there is no reason why you cant exercise in a safe and controlled environment *
Do you feel you would be a suitable client for Coaching and if so why? *
Do you understand that this will require a high level of commitment from yourself? *
If you had to put a price on you achieving your goals how much are you willing to invest to finally move things forward? * *
Provided you are a good fit would you be happy to get started within the next week? *
if you answered no, when are you looking to get started?
Concept Fitness strongly recommends that you consult with your doctor before beginning any exercise program. You should be in good physical condition and be able to participate in the exercise. Concept Fitness is not a licensed medical care provider and represents that it has no expertise in diagnosing, examining, or treating medical conditions of any kind, or in determining the effect of any specific exercise on a medical condition. You should understand that when participating in any exercise or exercise program, there is the possibility of physical injury.If you engage in this exercise or exercise program, you agree that you do so at your own risk, are voluntarily participating in these activities, assume all risk of injury to yourself, and agree to release and discharge Concept Fitness from any and all claims or causes of action, known or unknown, arising out of Concept Fitness' negligence. *
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When's the best time for me to give you a call? *
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