Your Name (required) Your Email (required) Preferred contact method? Email Phone What are you interested in? Personal Training Sessions Small Group Classes Bootcamp Home/Outdoor Training Private Group Sessions What would you like to achieve as a result of your sessions? Have you had a personal trainer or attended fitness classes in the past? Yes No If so please give some details: What is your current exercise regime? How do you rate your current fitness level? 1 = very poor 1 2 3 4 5 6 7 8 9 10 Would you like to improve your diet? 1 2 3 4 5 6 7 8 9 10 Any other information?