FITNESS PROGRAM

FITNESS PROGRAM

MOMENTUM FITNESS WARRNAMBOOL
Date *

Day Month Year
Date Date Picker Icon
Name *

First Name Last Name
Best Contact *

Mobile Email Facebook/Messenger
Best Contact Details *
Height
Weight
Have you been to a gym before? *

Yes No
Are you currently training? *

Yes No
If Yes, how long have you been training for?
How many days do you train?
Are these consecutive days?

Yes No
What are your goals? *
If other, please explain:
Do you have a sporting back ground? *

Yes No Yes - but a very long time ago
If yes what sport do you play?
Or use to play
Do you have any injuries past or present? *

Yes No
If yes what is your injury?
If past is this still an issue?
Would you like to be taken through your program? *

Yes No
If Yes, what day would you prefer to go through your program with the trainer?
What time frame best suits you?
* Please be aware that these times and days may change depending on trainer availability.

Once completed a trainer will contact you to organise an appointment with you. Please allow at least 3 days from filling out this form.
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