REACTIV8 Personal Training Enquiry Form
If you are thinking about receiving some personal training to get leaner, stronger or fitter, please complete our simple online form and one of our qualified trainers will contact you to discuss your personal fitness goals.
First name
*
Surname
*
Date
Day
03 Sep 2010
Contact Details
Home
Mobile
Email
What type of sessions are you interested in?
*
Reactiv8 8-week program
Standard 1 hour sessions
Bootcamp/group training programs
What is your primary goal for personal training?
*
Please Select ...
Fat loss
Tone and Condition
Increase lean mass
Sports conditioning
Rehabilitation
General health and fitness
What is your current health status?
*
Please Select ...
Good Health
Most often good health
Some minor ailments
Often in poor health
Overall poor health
Are you currently engaged in regular exercise?
*
Yes
No
How often do you train
*
Please Select ...
1-2 times/wk
2-4 times/wk
>4 times/wk
How long have you been training for
*
Please Select ...
<6 months
6 months – 1 year
> 1 year
Have you previously engaged in regular exercise
*
Yes
No
How long ago
*
Please Select ...
> 6 months ago
> 1 year ago
> 5 years ago
What days are you available for a personal training session?
*
Please Select ...
Any day
Weekdays only
Weekends only
What time would best suit you?
*
Please Select ...
Any time
Day time
Late/evening
Early/morning
Current NSL membership status
*
Please Select ...
Member
Non-Member
Staff
How would you like us to contact you
*
Phone
Email
What is the best time to contact you
*
Please make sure the Email field above is filled in.
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