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Rossell Fitness – Free 6 Application Form
Name
First
Last
Age
*
Location
*
How many training programmes and/or diets have you tried before applying for this one?
*
0
1-2
3-4
5+
So many that I can't remember
Why did those other programmes stop working for you?
*
It was boring
It was not personalised
I got injured
I wasn't motivated to carry on with it
All of the above
What are your main goals?
*
Weight loss
Toning
Health
Fat loss
Event preparation
Triathlon performance
Other
Which best describes you?
*
Meat eater
Vegetarian
Pescetarian
Vegan
Please tick all of the options that apply to your current situation...I feel:
*
Confident
Depressed
Unhappy
Fit
Out of shape
Frustrated
Healthy
Unhealthy
Unworthy
Please tell me in your own words, where you see yourself in 5-10 years if you don't make some healthy changes to your body and mind now?
*
Tell me why you think that I should choose you for this training programme?
*
If we were able to go into the future 1 year from now and look back, what has to have changed in your life for you to feel happy with your progress?
*
Please think about this in terms of your mindset, your body and your happiness
Email
*
Phone
*
Best time for me to call you
*
:
HH
MM
AM
PM
Terms and Conditions: I am certain that I am ready to commit to making some changes in my life, I understand that if I am not prepared to change I will not get the best out of the training that I undertake with Rossell Fitness. I am excited to begin a new phase in my life where I prioritise my health to get great results that give me happiness and confidence!
*
I agree
Please make sure that you have filled in ALL of the boxes with the correct information, if you have missed a box, the form will not submit. Thanks for filling in my form and I will be in touch very soon!
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