Everyone is different and we want to give you the best possible advice. Once we have received your enquiry, one of our team members will be in touch with you as soon as possible. We look forward to speaking with you, and thank you again for choosing Prestige PT to help you with your health and fitness. Alternatively, feel free to telephone us on 9763 9101.

   
     
 
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Name
 
*
Email
 
*
Address
   
 
*
State
* P/C
 
 
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Home Tel.
   
Work Tel.
   
Mobile Tel.
   
Have you ever trained with a personal trainer before?
Yes   No
 
   
Do you live or work locally?
Live  Work
Both
   
Are you currently doing regular exercise?
Yes   No
 
 
       
    How did you hear about Prestige Personal Training?
    Flyer in the mailbox Friend or family referral
    Yellow Pages Sign outside studio
    Internet Search Other please specify
       
    What results are YOU looking for? Please tick any options applicable to you
    Weight loss Decrease in body fat  
   
5-10kg 10-20kg 20+kg
 
    Increase fitness Increase motivation  
    Increase strength Increase energy  
    Increase endurance Improve sport
    Increase muscle Increase self esteem  
    Rehabilitation Feel and look fantastic  
   
   
    How long have you been thinking of doing
an exercise program?
    When would you like to achieve your results by?
    What time of the day would you prefer to exercise?
    Who would you prefer to train with? No preference
Male
Female
    Your age group:    
   
Junior (under 16) 16-21 yrs 22-30 yrs 31-49 yrs 50+ yrs
       
    Comments:
    * Required Fields

 
   
Thank you for completing our enquiry register.
Our goal is to get you to yours!
     
 
           
   
       
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