Free 6 Application - Rossell Fitness

Name

First Last

Age*

Location*

How many training programmes and/or diets have you tried before applying for this one?*

Why did those other programmes stop working for you?*

What are your main goals?*

Which best describes you?*

Meat eater
Vegetarian
Pescetarian
Vegan

Please tick all of the options that apply to your current situation...I feel:*

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

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!

Rossell Fitness – Free 6 Application Form