SPECIAL OFFERS

IMAGE: WORKOUT GUY

TITLE: FREE TRIAL

If you live or work nearby and you are thinking of joining us, then please apply for our FREE trial offer, filling out the details below so we are best able to service your requirements. Congratulations in taking the first step to achieving your health and fitness goals!

* = Required Field.

Branch*:  
Full Name*:  
Age Group*:  
Street Address:  
Suburb*:  
Town / City:  
Work Suburb*:  
Email*:  
Contact Phone*:  

Interests

Occupation

Comments for us ...

 

How did you hear about our website today *

 
Have you ever been a member of a gym?*   Yes     No
If Yes which one mainly?  
What results do you want to achieve?*   Weight Loss / Reduced Body Fat
Rehabilitation / Strengthen an injury
Build up / Increase size
Firm Up / Increased Muscle Tone
Increased Endurance / Fitness
Increase your Strength
     
How many times per week will you be training?  
     
When would you like to see results?   Months
     
On a scale of 1-10(high) how important is it for you to achieve these results?  
What has stopped you from starting sooner?   Work
Family
Money
Procrastination
Motivation
Injury
Is this still a problem?   Yes     No

 

   

 

 Privacy Statement

 
©2007 JustWorkout
site by feisty