Strategy Call Application - Rossell Fitness

Name

First Last

Age*

What happened last time you tried to make a change in your health, fitness or nutrition?*

It was boring
It was not personalised
I got injured
I wasn't motivated to carry on with it
All of the above
I've never tried to change my health and fitness before, this is my first time
Other

What are your main goals?*

Weight loss
Weight maintenance
Weight gain
Toning
Health
Improving nutrition
Fat loss
Event preparation
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?*

Email*

Phone*

Best time for Nicola to call you*

:

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 am giving my consent to be contacted by Rossell Fitness*

I agree

Please visit the privacy policy available at www.rossellfitness.co.uk to understand how we use your personal data.