Online Application Enquiry Form

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What Is Available For You After Signing Up?

- Unique Personal Tailored Training Programs To Support You In Achieving Your Desired Goals
- Nutrition Advice & Nutrition Plans To Suit Individual Requirements

- 24/7 Access For Support & Enquiries
- Mindset Coaching & Guidance
- "As You Go" Education Encouraging Personal Development & Growth

- Lifestyle Mentorship
- 1 on 1 Posing & Posture

Email *

Full Name* *

Age* *

Phone Number*

Height*

Weight*

Allergies*

Current Activity Level*

Im currently doing minimal Steps and Exercise, my Job isn't Physically demanding

Im reasonably active at work and try go for extra walks where i can

I cover quite a bit of movement at work and aim to exercise up to 3 times a week

I have a physical job and always exercise up to 5 times per week

My work is extremely physical and i make sure i exercise 5 days each week

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Daily Step Count (If You Don't Know I Would Strongly Suggest Leaning Towards Purchasing A Step Tracker)*

2000 - 4000

4000 - 8000

8000 - 12,000

12,000 & Above

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What Are Your Desired Goals And Results For Levelling Up Your Fitness/Physique Status. Think About Your "WHY" And What Will This Truly Mean To You.
(take a moment to really take this in)*

What Does A Typical Weekly Schedule Look Like For You. (How Many Days In A Week Can You Hit The Gym)

Any Injuries Or Problematic Areas That Needs To Be Mentioned Prior To Starting A Program*

How much sleep are you averaging each night?

Will You Require A Meal Plan (Set Calories & Set Foods To Consistently Eat Day In Day Out)*

Yes I Do

No Im All Over It

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Do You Require Calorie Calculations For You To Follow For Your Personal Macro Break Down To Create Your Own Meal Plan*

Yes

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What Is Your Current Level Of Understanding For Nutrition And Calorie Calculations*

Im New To This

I Have A Mild Understanding And Want To Further My Knowledge

Im Experienced And Can Achieve Results

I Know Exactly What To Do With My Nutrition

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Preferred Check-In Days*

Friday

Saturday

Sunday

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