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TELL US MORE ABOUT YOU.

Please take a few minutes to complete this short questionnaire.

Please note all information provided is strictly confidential. If you have any problems completing this form or have any questions please don’t hesitate to email us at hello@whitemethodfitness.com.

 
CONTACT DETAILS
Name *
Name
Address *
Address
Date Of Birth *
Date Of Birth
IN CASE OF EMERGENCY
Emergency Contact Name *
Emergency Contact Name
GP Contact Details
GPs Name
GPs Name
Surgery Address
Surgery Address
MEDICAL HISTORY
Do you have any of the following?
Select those which apply to you.
Do you now have or have you recently experienced?
Select those which apply to you.
Women Only
Select those which apply to you.
LIFESTYLE
Please select those which apply to you
PHYSICAL ACTIVITY
Please select those which apply to you.
CURRENT FITNESS ROUTINE
If you currently workout, please give us an example of your typical training week. If you don't currently exercise, then please skip ahead.
YOUR NEW TRAINING PROGRAMME
To help us create a programme which is right for you please let us know more about how training could work for you.
What types of exercise do you want in your training routine?
What days suit you best for training?
What times of day work best for you?
WELL DONE FOR MAKING IT TO THE END. PLEASE HIT SUBMIT