First Name *

Last Name *

🎂 Date of birth *

🧬 Biological Sex

Male
Female
Intersex
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Email *

Phone *

We will contact you using the details you have provided. We never share your information and you can unsubscribe from our mailing list at any time.

👋🏼 Where did you first hear about us? *

Social media

Spoke in person

Flyers

SCL Website

SCL Gym Staff

Referral (Friend/Family)

Online Search

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🎯Which of these are most important to you *

🧠 Mental Health

❤️‍🩹 Physical Health

💪🏽 Build Muscle

⚖️ Lose fat

😁 Confidence

🤕Reduce Aches & Pains

🤸🏽 Flexibility

🏃🏼‍♂️ Athletic Performance

😖 Stress Management

🛌🏼 Sleep

🥗 Nutrition

😍 Lookin Sexy

⭐ How would you rate your current health & fitness? *

1⭐

2⭐⭐

3⭐⭐⭐

4⭐⭐⭐⭐

5⭐⭐⭐⭐⭐

🏋🏻 What Experience Do You Have With Training?

0️⃣ No Experience

1️⃣ Novice

2️⃣ Intermediate

3️⃣ Advanced

🏆 What are your long term goals? *

🚧 What challenges or barriers do you currently face? *

🙌🏼 What support would you like from us? *

🏋🏽‍♂️ What type of training are you interested in? *

🏋🏽‍♂️1:1 Training

🧑🏻‍🧑🏿‍🧒🏽 Semi Private Training

📲 Online Training

❓ Not Sure Yet

🏢 Are you a member of Salford Community leisure? *

👍🏽 Yes

❌ No

🔻 Are you willing and able to travel to Eccles Leisure Centre?

👍🏼Yes

⛔ No

🗓️ What's your availability on Monday's?

6 am

7 am

8 am

9 am

10 am

11 am

12 pm

1 pm

2 pm

3 pm

4 pm

5 pm

6 pm

7 pm

8 pm

🗓️ What's Your Availability On Wednesdays?

6 am

7 am

8 am

9 am

10 am

11 am

12 pm

1 pm

2 pm

3 pm

4 pm

5 pm

6 pm

7 pm

8 pm

🗓️ What's Your Availability On Fridays?

6 am

7 am

8 am

9 am

10 am

11 am

12 pm

1 pm

2 pm

3 pm

4 pm

5 pm

6 pm

7 pm

8 pm

💷 To find a package right for you, what is your monthly budget? *

£99

£100 - £199

£200 - £299

£300 - £399

£400+

❓Do you have any other questions?

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