Project Wellness - Enquiry Form
Congratulations on taking your first step in leading a healthy lifestyle!


This form is to give me an understanding of your goals and to compile questions you may have! 
Once done I will advise you accordingly!


Location: Parklane Shopping Mall  #05-20
(Private gym where you don't have to share equipment + privacy to learn comfortably!)


All information shared in this form is confidential and will not be shared.

Looking forward to helping you achieve your fitness goals!

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Name *
Gender *
Age *
Current height and weight *
Occupation (if studying please specify school) *
Do you have any past/current injury or medical condition?
(arm fracture, diabetes etc)   
*If yes, please specify*
 *
Have you worked with a Personal Trainer before? *
How many times do you run per week? *
How many times do you strength train per week? (etc gym) *
Do you currently play any sports? (If yes, please state which sport/sports and how regularly) *
Which option best describes your current lifestyle?
 *
What do you want to achieve from this training? *
Do you currently have access to a gym or own a gym membership? 
(if yes please state which gym: 
condo gym, office gym, Fitness First, F45 membership, school gym etc)
 *
Residential area (DO NOT state your exact address, just the area: Tampines/ Jurong / Woodlands etc) *
Preferred day AND time period to train during the week 

(example: anytime on Wednesdays 4pm-8pm, or weekends 10am-2pm) 

- please state all available timings so that it would be easier to arrange a slot*
 *
When would you be free to come down for the free trial session? Please state earliest date and time *
Which plan suits you?

(these plans include personalized training plans* on non-training days and meal planning/ dietary guide)

*DO NOT NEED TO PAY for gym membership*.

*Private gym near town area to ensure you can train without any hassle!*
 *
How did you find out about this training? *
Please state any questions you may have, or any additional information you would like to highlight to the trainer. (will be discussed during the free trial session) *
Please state your handphone number for me to contact you once I'm done evaluating this form. *
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