Skip to content
Register for Energise
*
1.
Name?
(Required.)
*
2.
Age?
(Required.)
*
3.
What is your job & how active is it?
(Required.)
*
4.
Current weight? (Please weigh yourself if unsure)
(Required.)
*
5.
Any Injuries and conditions we need to be aware of?
(Required.)
*
6.
What are you goals with signing up to Energise? And your goals long term?
(Required.)
*
7.
Do you go to classes? Would you be willing to try some with the right support?
(Required.)
*
8.
What does your current weekly exercise consist of? How many days could you commit to with a plan? (This can be including classes etc for example, commit to 2 days training plan, but you want to continue doing 2/3 classes a week)
(Required.)
*
9.
Would you be interested in the discounted 1-2-1 and/or group PT sessions?
(Required.)
Yes
No
Maybe
Would prefer 1-2-1 sessions
Would prefer group sessions
*
10.
What do you feel your fitness/exercise ability is?
(Required.)
Beginner (new to it all)
Intermediate (comfortable training, but somethings I’m still unsure of)
Advanced (perfectly comfortable, confident with all things exercise/fitness related