Rapid Fitness Pre-Consultation Form
In order to undertake any service I ask all potential clients to complete the following Pre-Consultation Form, in detail, so I can get a better insight into you, your background and your goals.

I will get back to you with my Service Brochure, which lists all of my services with associated costs within 3–5 working days. I can also personally recommend a service based on your individual goals and budget.  
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Email *
Phone number *
Preferred Method of Follow Up Communication
 *
Date of Birth (Include age as well) *
Name *
Approx. Weight *
Height *
The different services we offer vary in terms of the level of support, time and client effort required. To better help advise you on the most appropriate and effective service for your individual goals, please indicate the budget most applicable to your current situation. *
Motivation Level *
Extremely Low
Extremely High
Self Esteem *
Extremely Low
Extremely High
Quality of Life *
Extremely Low
Extremely High
Females Only: Please detail information relating to menstrual cycle length, frequency or if you are postmenopausal: *
A copy of your responses will be emailed to the address you provided.
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