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First Name *
Surname *
Address
Suburb/City
Mobile Phone
Home Phone *
NB: Leave no spaces in phone number
Email Address *
   
1. Are You Currently Exercising?
Yes
No
2.(a) If yes, what type?
2.(b) If no, have you done structured exercise in the past?
Yes
No
2.(c) If yes, what type?
If yes, which club?
Is your membership current?
Yes
No
3. Have you ever joined a fitness club before?
Yes
No
4. What type of results do you want to achieve?
Weight Loss/Reduce Body Fat
Increase Endurance/Fitness
Body Building/Strength
Sports Conditioning
Feel & Look Good
Firm Up/Increase Tone
Body Sculpting/Shaping
Stress Management
Increase Energy Level
Other
5. How important is it for you to achieve these results?
Don't Care
Not very
Fairly
Very
It's A Must!
6. What time of day would you prefer to exercise?
am
pm
7. Which of our clubs are you interested in joining?
* means required field  

 

 

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For general contact information you can contact us on info@eqhf.com.au. For club specific information please contact the relevant club directly.