Pre-Consultation Form

Getting to know YOU
& how we can best help YOU

Relentless Gym – We NEVER share your information!

Name

First

Last

Email Address

Contact Number

Birthday

What are YOU most interested In?

You can choose up to 5 interests.

Which best describes YOUR current state of Health, Strength, Fitness & Energy?

POOR – Feeling sluggish, unfit & tired.
AVERAGE – Feeling okay, but needing improvement & change.
GOOD – Feeling healthy, strong & fit committed to stepping it up to the next level.

Which statement best describes YOU?

Tell us about YOURSELF. Give a brief description of your goals and why you have applied.

Why haven't you achieved those goals? Or what has stopped YOU?

Have YOU worked with a coach or trainer before?

On a scale of 1-5 how would you rate YOUR current nutrition habits?

Name YOU? and

On a scale of 1-5 how would you rate YOUR current stress levels?

What training times suit you best? IN-PERSON ONLY

If none of the above times suit YOU, what is your ideal session time?

What type of training are YOU interested in?

How did you find us?