Online personal training registration form
Please fill in the form below to register for your Online Personal Training.
*mandatory fields.
关于我
名字
*
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姓名
*
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我是PURE持卡人
*
是
否
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会员号码
*
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手机号码
*
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电邮
*
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Is this the first time you have had a personal trainner
*
Yes
No
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How long were you with a ProPT for?
*
Less than 6 months
6 months to 1 year
1 to 3 years
3 to 5 years
More than 5 years
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Are you currently a member of another fitness centre?
*
Yes
No
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Do you have any medical or physical conditions that may prevent you from engaging in physical exercise?
*
Yes
No
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Do you currently have any injuries?
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Yes
No
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If you are female, are you currently pregnant?
*
Yes
No
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How many weeks into your pregnancy?
*
Are you currently exercising regularly?
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Yes
No
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How often?
*
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What are your primary interests and/or fitness goals for taking Online ProTraining ? You can choose more than one option.
*
Lose weight
Reduce stress
Increase energy
Tone & firm
Sleep better
Rehabilitate injury
Increase flexibility
Build muscle and increase strength
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What is your preferred schedule for the Online ProTraining? You can choose more than one option.
*
Morning
Lunchtime
Afternoon
Evening
Mondays
Tuesdays
Wednesdays
Thursdays
Fridays
Saturdays
Sundays
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What are your preferred time slots? You can choose more than one option.
*
6am-9am
9am-12pm
12pm-2pm
2pm-6pm
6pm-9pm
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Please also list what country you are in for time zone considerations
*
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What is the total number of sessions you wish to have per week?
*
1 to 2
3 to 4
5 or more
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Which gender would you prefer for your PURE ProPT?
*
Male
Female
No preference
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Please pick your preferred language of instruction. You can choose more than one option.
*
Mandarin
English
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Any other important information you would like to provide for your Online ProTraining sessions?
*
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If you already have a preferred trainer, please let us know their name. Otherwise, we will find a suitable trainer based on your provided information. Please note that not all PURE ProPTs are available for Online ProTraining.
*
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