FIRST NAME
:
SURNAME
:
CONTACT NUMBER
:
EMAIL
:
POSTCODE
:
HAD A PERSONAL TRAINER BEFORE?
:
YES
NO
MY PREFEERED TRAINING TIME
:
EARLY MORNING
DAYTIME
AFTERNOON
NO EVENING APPOINTMENTS ARE AVAILABLE
MY PREFEERED TRAINING DAYS
:
WEEKDAYS
WEEKENDS
BOTH
EITHER OR
I AM INTERESTED IN
:
PERSONAL TRAINING
KETTLEBELL TRAINING
BOXERCISE
MY MAIN GOALS IS
:
SPORTS CONDITIONING
:
IMPROVE CARDIO
:
STRENGTH
:
SHAPING/TONING
:
WEIGHT LOSS
:
WEIGHT GAIN
:
BUILD MUSCLE
:
FLEXIBILTY
:
OTHER
:
I WOULD LIKE TO ACHIEVE??
:
ADDITIONAL INFORMATION
:
I LIKE THE SOUND OF KETTLEBELLS
:
BOXERCISE
:
KICKBOXERCISE
:
TRX
:
HOW DID YOU HEAR ABOUT US?
:
RECOMMENDED
FRIEND
RECEPTION
POSTER
LEAFLET
GOOGLE
WORD OF MOUTH
OTHER