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KCPT • ONLINE
with Kate Collins
KCPT • ONLINE
with Kate Collins
Progress
1 / 39 · 3%
Public form
Personal Training Application Form
Progress
1 / 39 · 3%
§ 01
Full name
· Required
§ 02
Email Address
· Required
§ 03
Mobile Number
· Required
§ 04
Gender
· Required
Select an option
Male
Female
§ 05
Age
· Required
§ 06
Height
· Required
§ 07
Location / Suburb
· Required
§ 08
Which Personal Training package suits you best?
· Required
1 X 30 Minutes $69 (casual check-ins or drop-in)
1 X 45 Minutes $89 (casual check-ins or drop-in)
1 X 60 Minutes $109 (casual check-ins or drop-in)
2 sessions/week: 30 mins $136/week (8 week minimum)
2 sessions/week: 45 mins $176/week (8 week minimum)
3 sessions/week: 30 mins $201/week (8 week minimum)
3 sessions/week: 45 mins $261/week (8 week minimum)
5-Session Pack: 30 min sessions / $325
5-Session Pack: 45 mins sessions / $425
10-Session Pack: 30 min sessions / $600
10-Session Pack: 45 min sessions / $800
§ 09
Primary Goal:
· Required
Fat loss
Build muscle/ Tone up
Gain weight / Size
Body recomposition
Increase strength
Improve fitness and endurance
General health and wellbeing
Understand the equipment at the gym
Improve technique with exercises
Not sure yet
§ 10
What does success look like to you in 12 weeks? (your desired outcome)
· Required
§ 11
Have you tried to reach this goal before?
· Required
Yes
No
§ 12
Daily activity level?
· Required
Select an option
Mostly sedentary (desk job, little movement)
Lightly active (some walking, on feet at times)
Moderately active (active job or regular exercise)
Very active (physical job and training)
Athlete (training 5 times + per week)
§ 13
Do you currently exercise?
· Required
Select an option
Yes, consistently
On and off
Just starting out
Not currently
§ 14
Do you have any current injuries or physical limitations?
· Required
Yes
No
§ 15
If YES, Explain
§ 16
Do you have any chronic medical conditions?
· Required
No
Heart condition
High blood pressure
Diabetes
Asthma
Osteoporosis
Joint issues
Other
§ 17
Are you currently taking any medication that may affect your training?
· Required
Yes
No
§ 18
If YES, Explain
§ 19
Have you been cleared by a doctor to exercise?
· Required
Yes
No
§ 20
Do you experience any pain during exercise?
· Required
Yes
No
§ 21
If YES, Explain
§ 22
What is your current training experience?
· Required
Select an option
Complete beginner
Trained casually before
Trained consistently for 1-2 years
Experienced, 3+ years
§ 23
What types of training have you done before?
· Required
Weight training
Cardio (outdoors)
Group fitness
Sports
Home workouts
None
Other
§ 24
How many days per week can you commit to face to face personal training?
· Required
Select an option
1 session per week
2 sessions per week
3 sessions per week
1 session per fortnight
2 sessions per fortnight
I am flexible with training sessions
§ 25
How long can you train per session?
· Required
30 mins per session
45 mins per session
§ 26
Do you have access to a gym?
· Required
Select an option
Yes, I have a gym membership
Yes, I have Carbon Gym membership
No, I train at home with minimal equipment
No, I train at home with no equipment at all
§ 27
Do you have a specific event or deadline you're working toward?
· Required
Yes
No
§ 28
If YES, Explain
§ 29
What is your occupation?
· Required
§ 30
Rate how would you describe your daily energy levels?
· Required
Pick one
§ 31
How is your recovery between sessions?
· Required
Select an option
I recover well
Takes me a few days
I often feel sore and rundown
Not sure yet
§ 32
Are you currently doing any other physical activity outside of structured training?
· Required
Yes
No
§ 33
If YES, Explain
§ 34
Is there anything about your body or health history you want me to know before we start?
· Required
§ 35
How committed are you to this process right now? (1= not at all - 10= extremely commited)
· Required
1
2
3
4
5
6
7
8
9
10
Low
High
§ 36
What's your biggest concern about starting a training program? (If any)
§ 37
How did you hear about KCPT?
· Required
Instagram/ Facebook/ TikTok (Social media)
Google
Referral from a friend
Carbon Gym
Existing client
Other
§ 38
Today's date
· Required
Pick a date
§ 39
All of the above is truthful/ accurate
· Required
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