Please take the time to answer ALL of the questions below so that we can match you with the coach best suited to your unique circumstances and requirements.
We need all of this information before we can proceed and any unfilled areas will create unnecessary delay in booking your FREE consultation so please answer each question as fully as you can.
Many thanks!
Dax
Personal Details |
| First Name |
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| Lst Name |
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| DOB |
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| Gender |
* Male
Female |
| Address |
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| City |
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| Postcode / Zip |
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| Country * |
* |
| Tel |
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| Email * |
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General Information |
How did you learn about Dax Moy Personal Training Studios?
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Which services most appeal to you?
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| Why? |
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Health and Medical |
Do you have any medical conditions
(not a problem if you do but we need to know) |
Are you undergoing any treatment/therapy
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Do you have any injuries?
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How do they affect you?
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How would you rate your overall health?
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Why?
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Personal Lifestyle |
What do you currently do to keep fit/healthy?
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How often?
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What would a typical day in your life entail?
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What do you think our coaches can do to help you that you can't do yourself?
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What do you think you will achieve in the next 90 days?
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What are you willing to do to make this happen?
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What excuses are you most likely to use to get out of training
or following your diet? (We all have them, be honest!)
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Days, Times & Preferences |
| What days/times would you IDEALLY like to work with your coach? |
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