EXPT CONSULT FORM

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EXPT CONSULT FORM

Hi, this form helps us better understand your starting point and what you are looking to achieve for your fitness journey. Please fill it up and we will contact you shortly.

Email *

Please write your full name *

Phone Number *

Birthday

YYYY

How did you find us?

Referral

Website

Social Media

Others

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Referral source

Any sports background?

Do you have any past or existing health conditions? If yes please list down below.

Where do you usually prepare your food?

home-cooked

Order-in

A mixture of ordering and eating at home

Clear selection

Any known food allergies?

what do you work as?

How would you rate your activity levels?

Sedentary (mostly seated)

Slightly active (occasionally moving out)

Moderately active (mixture of moving around and sitting daily)

Active (I pretty much stand and move around most of the time)

Very active (I have to move around and carry stuff through the day)

Clear selection

Does your job require you eat out alot?

Yes, I have to entertain my clients

No, I do my time and I'm good

Sometimes I have to but its really rare

Clear selection

what is your goal?

why do you want to achieve this goal?

how long do you think you need to achieve your goal?

< 8 weeks

<12 weeks

<20 weeks

< 1 year

> 1 year

Clear selection

what are your preferred time slots?

Note: Sat/Sun gym closes by 5pm

5am - 9am

9am - 12pm

12pm - 2pm

2pm - 6pm

6pm - 10pm

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

when can you get started?

A copy of your responses will be emailed to the address you provided.

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