Your name:
Phone / Skype:
Your email address:

What programme are you interested in?

Current Routine

Days per week, style of exercise e.g. cardio/weight training/classes or is your current routine non existent?

Goals & Targets

In a year from now, what does your dream body look like? (please be as specific as possible, such as weight, body fat percentage, etc)

How much progress towards your fitness goal, did you make last month? Or in the past?

What roadblocks are slowing you down from attaining your dream body?

About you!

Do you have a Personal Trainer or following a specific programme? If so, please tell me what the programme is or what your trainer has you doing.

How is your fitness progress going?

How many days can you commit to training?

Are most of your meals prepped at home or do you buy your food from local restaurants and food stores?

On average, how much alcohol do you consume in a week?

How do you sleep?