Personal Trainer London | Dax Moy Personal Training Studios London

Call Us 020 7354 3550

First Name

Lst Name

DOB

Gender

* Male Female

Address

City

Postcode / Zip

Country *

Tel

Email *

How did you learn about Dax Moy?

What services most appeal to you?

Why?

Do you have any medical conditions
(not a problem if you do but we need to know)

Are you undergoing any treatment/therapy

Do you have any injuries?

How do they affect you?

How would you rate your overall health?

Why?

What do you currently do to keep fit/healthy?

How often?

What would a typical day in your life entail?

Why do you want to work with a trainer?

What do you think you will achieve in the next 90 days?

What are you willing to do to make this happen?

What excuses are you likely to use to get out of training
or following your diet?

What days/times would you like to work with your trainer?

Mon Tues Wed Thur Fri Sat Sun	Morning Afternoon Evening Night
What days/times are totally unworkable for you?
Mon Tues Wed Thur Fri Sat Sun	Morning Afternoon Evening Night
Number of session per week
Based on the information in the Fees page, Which Trainer grade do you think would be right for you?
Would you prefer to work with a male or female trainer? Male Female No Preference
Would you prefer to work with us at Islington or Potters Bar? Islington Potters Bar

Finally...
...in the space below, explain why you think you would be a good candidate for working with either Dax or his team and how we will get the best from you.