KhadijaKGym Survey Form Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *Mobile Number: *Age: *Date Of Birth: *Residential Address: *Instagram handle: *Main reason for exercising *Lose weightBuild lean muscleStress ManagementGain weightGet fitTime slot you will be attending: *5am915am515pm615pmWhat would be your first choice if i added on a new class this year? *Running ClubBoxing/MmaYoga Strength/Powerlifting - squat - bench - deadliftWhat would be your SECOND choice if i added on a new class this year? *Running ClubBoxing/MmaYoga Strength/Powerlifting - squat - bench - deadliftWhat are YOUR goals for 2023 in terms of training. give me details! *Would you be interested in a weekly or monthly review with regards to your progress. EG; keeping track of your goals eg - weight, or how much you can squat etc. then progressing every week. *yesnoWhat supplements/vitamins do you take? *Do you have any medical conditions, illnesses, high blood pressure etc? *Emergency Contact: *FirstLastEmergency Contact Number *Sign up to our newsletter?How was your 2022 gym experience? *How many gym sessions a week will you attend this year? Selected Value: 2 Any other recommendation's or feedback for 2023 *Submit
