Connect Premium Group Membership Survey

Question Title

* 1. What is your full name?

Question Title

* 2. What is your Date of Birth?

Date

Date

Question Title

* 3. Please share with us your goals and what you’re looking to achieve?

Question Title

* 4. How many days a week are you able/want to train?

2 days

3 days

4+ days

Question Title

* 5. What times are you able to train consistently? (Please specify in the notes if you have a specific time you prefer)

Morning (10:00am)

Afternoon (11-1pm)

Evening (4:30pm)

Other (please specify)

Question Title

* 6. When are you able to start?

Date:

Date

Question Title

* 7. What is your best contact information?

Email Address

Phone Number

Question Title

* 8. Do you have any friends, family or co-workers that may be interested in joining your group? If so, please feel free to share with their consent their name and email address and we can reach out to them: