The Basics
Who you are and simple stuff...
Full name
*
First Name
Last Name
Where do you live?
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
E-mail
*
example@example.com
Phone Number
Introduction - Welcome to our facility
This is the only time we will kind of ask those surface level questions because look they matter too! We promise, it's get more exciting soon.
Where did you hear about us?
Social Media
Google Search
Friend/Family
Recommended By Someone Else
Walked Past
Print Advert
Event
Other
Let's Get Going
Some basic lifestyle items first...
How good would you say your diet is?
1
2
3
4
5
How would you rate your rest/sleep?
1
2
3
4
5
How stressful is your job/lifestyle?
1
2
3
4
5
Keep Moving
Let's dive into the real support structures..
Out of 5, how fit do you feel now?
1
2
3
4
5
How important is it for you to create change?
1
2
3
4
5
What experience do you have in health & fitness?
None
Some
Heaps
I'm a Pro!
Fitness is my life!
Ehh what is health and fitness?
What motivated you to come here today?
I'm fed up of not taking action
I want to try something new
You've been highly recommended
I need a push into action
I don't know how to do this alone...
How long have you been thinking about getting into some fitness?
Less than 1 Month
1-3 Months
3-6 Months
6-12 Months
1-3 Years
3 Years+
What has stopped you from taking action?
Motivation
Time
Busy Lifestyle
Money
Procrastination
Me!
Other
What two of the below would you like to achieve?
Fitness Increase
Better Energy
Weight Loss
Strength Gain
Improved Mental Health
Skill Increase
Tone Up
Habit Creation
Lifestyle Adjustment
Outline your main goal, your main reason for being here?
How important is your goal?
1
2
3
4
5
Do you have a timeline to achieve your goal?
How do you feel now in relation to your Health and fitness?
This matrix type is not available for legacy form layout.
How would you like to feel?
This matrix type is not available for legacy form layout.
How would you feel if you didn't take action today?
This matrix type is not available for legacy form layout.
What is most important for you? (Top two)
Community feel
Caring coaches
Intense training
Competitive elements
Support and Accountability
Motivating Staff
Club environment
Guidance and learning
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!
Where are you now?
Internal
External
Permanent
What stage would you like to get towards?
Internal
External
Permanent
Membership Options
Précédent
Suivant
Submit
We must give you your VIP Guest Pass too!
Which Friend or Family Member Comes to Mind?
Jot their number down here
Should be Empty: