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Personal Training Intake
Before your first session, so we can plan it around what your body can do today.
Your name
*
(required)
Email address
*
(required)
Phone number
Date of birth
*
(required)
Emergency contact - name and number
*
(required)
Your goals
What are you training for?
*
(required)
Fat loss
Strength
Muscle gain
General fitness
A specific event
Rehabilitation
Mobility
Sport performance
Mental health
What would you like to be able to do in three months?
*
(required)
What's prompted this now?
*
(required)
Select…
A health scare or check-up
An event with a date
How clothes fit
Energy levels
A friend or partner started
Long-standing intention
Training history
Training experience
*
(required)
Select…
Never trained
Tried a few times
Trained before, stopped
Currently training
Trained for years
What are you comfortable with?
*
(required)
Free weights
Machines
Bodyweight
Running
Cycling
Classes
Swimming
None of these
How many sessions a week can you commit to?
*
(required)
Select…
One
Two
Three
Four or more
Health and injuries
Injuries, past or present
*
(required)
Do any of these apply?
*
(required)
Heart condition
High blood pressure
Asthma
Diabetes
Joint or back problem
Pregnant or postnatal
Recent surgery
None of these
Medication
How are your energy levels day to day?
1
2
3
4
5
6
7
8
9
10
Exhausted
Excellent
Sleep
*
(required)
Select…
7+ hours, good quality
Enough but broken
Under 6 hours
Very variable
Logistics
When could you train?
*
(required)
Early morning
Mid-morning
Lunchtime
Afternoon
Evening
Weekend
Where would you like to train?
*
(required)
Select…
Your gym
My home
Outdoors
Online
No preference
Leave this field empty
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