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CoachedBySam Initial Enquiry Form
Please fill out this form, to the best of your ability, providing open, honest feedback. I will aim to get back to you within 72 hours of form submission.
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* Indicates required question
Email
*
Your email
What is your name?
*
Your answer
What is your goal / reason for enquiring
?
*
Weight loss
Improved gym performance
Lifestyle change
Diet / nutrition advice
Other:
What is your level of confidence in the gym?
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1
2
3
4
5
6
7
8
9
10
How many days a week could you potentially workout? (Weights and/or cardio)
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1-2 Days
3-4 Days
5-7 Days
What are two things you would like to achieve in the first 3 months of working with myself?
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Your answer
Please provide your contact number (WhatsApp) below
*
Your answer
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