Language
English (US)
Full name
First Name
Last Name
Where did you hear about us?
Social Media
Google Search
Friend/Family
Recommended By Someone Else
Walked Past
Print Advert
Event
Other
Are you currently exercising?
No Exercising Weekly
1 time per week (most weeks)
1-2 Times weekly
3-5 Times Weekly
5+ Times Weekly
Other
If you stopped training - what made you stop?
Out of 5 how good do you feel now?
1
2
3
4
5
What are your goals now?
Fitness Increase
Better Energy
Weight Loss
Strength Gain
Improved Health (Mental/Physical)
Tone Up
Habit Creation
Lifestyle Adjustment
Outline your main goal below?
Why is this your main goal?
How important is your goal?
1
2
3
4
5
Do you have a timeline to achieve the above goals?
1-3 Months
3-6 Months
6-12 Months
12 Months +
Lifestyle
Specific Deadline
Other
How important is it for you to create change?
1
2
3
4
5
How stressful is your job/lifestyle?
1
2
3
4
5
How would you rate your rest/sleep?
1
2
3
4
5
How good would you say your diet is?
1
2
3
4
5
What aspects of your diet do you need the most help with?
Portion control
Going Out/Takeaways
Healthy Options
Cooking on a budget
Nutrition Knowledge
Other
Do you drink much alcohol?
Every so often/Occasions
1-2 drinks per week
Weekends
Daily
Other
Any other areas of health that we can support in?
What motivated you to come in here today?
Is it something that you've been thinking about for a while?
Less than 1 Month
1-3 Months
3-6 Months
6-12 Months
1-3 Years
3 Years+
Other
What's stopped you from taking action before?
Time
Money
Busy Lifestyle
Procrastination
Location
Other
What is most important for you? (Top two)
Caring coaches
Support and Accountability
Motivating Staff
Guidance and learning
Private Environment
Training around Injuries Properly
Results
Other
After answering all these questions - How important is it for you to make a change?
1
2
3
4
5
What exactly is EMS?
We will outline the how behind the tech and what it does now...
Let's Tour the Club
Let's Go for a quick club tour...
The Future You
Let's Look at You and Who You Can Become!
Membership Options
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