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PARTICIPANT PROFILE
This form will help us get to know you better so that we can assist you on your fitness journey more effectively.
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Gender
*
Male
Female
I am so busy that exercising at home is the best option.
Yes
No
I need motivation to consistently exercise.
*
Low motivation
1
2
3
4
5
Highly motivated
I need guidance on how to eat well and exercise.
*
Yes
No
Required
I need someone to help track my fitness.
Yes
No
I have medical / physical restrictions.
*
Diabetes
Heart disease
Weight issues
Hypertension
I am healthy
Other:
What is your fitness goal?
*
Weight Loss
Toning
Improve cardio-pulmonary fitness
Maintain health
Reduce blood sugar level
Doctor told me to exercise
Gain more energy
Other:
I need personal training.
Yes
No
Maybe
Clear selection
I am interested to know more.
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Call me
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Name
*
Your answer
Contact number
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Your answer
Email
Your answer
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