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Habitual Health & Fitness Founding Members Pilot Programme

Thank you for your interest in the Habitual Health & Fitness Online Founding Members Pilot Programme

This small pilot group is helping me test and refine my new online coaching system while receiving personalised coaching at a significantly reduced rate.

Places are limited to 5 participants so that I can provide proper support and feedback throughout the pilot phase.

Basic Details

Full Name

Email Address

Mobile Number

Height (cm)

Current Weight (kg)

Age

Gender

Gender
A
B
C

Occupation

Average daily steps if known

Any specific dietary requirements?

Do you have any food allergies, intolerances, or foods you avoid / hate eating?

Current Situation

A few questions about you
These questions help me understand your starting point and whether the pilot programme will be a good fit for you.

How would you describe your current level of training experience?

How would you describe your current level of training experience?
A
B
C
D

What are your main health or fitness goals right now?

What do you currently find most challenging about your training or health routine?

Which of the following would you most like support with?

Which of the following would you most like support with?

Are you currently training in a gym, at home, or both?

Are you currently training in a gym, at home, or both?
A
B
C
D

If currently training, how many training days a week?

Pilot Programme Information

The pilot programme costs £79 per month and includes personalised training, coaching through the Trainerize app, weekly check-ins and ongoing support.

There is also an optional add-on of one 1-to-1 personal training session per month (+ £45).

Would you be interested in adding a monthly personal training session?

Would you be interested in adding a monthly personal training session?
A
B
C
D

Why would you like to take part in the pilot programme?

Pilot Programme Agreement

As this is a pilot programme, participants are helping refine the coaching system and provide feedback that will help improve the programme in the future.

As part of taking part in the pilot, participants may be asked to provide feedback, a short testimonial or a review of their experience.

With your permission, anonymised results, progress stories or testimonials may be used for marketing purposes on the Habitual Health & Fitness website or social media.

Personal details will never be shared and testimonials will only be used with your consent.

I understand that this is a pilot programme and I may be asked to provide feedback or a testimonial about my experience.

I understand that this is a pilot programme and I may be asked to provide feedback or a testimonial about my experience.

I agree that my results or testimonial may be shared by Habitual Health & Fitness for marketing purposes, with my permission.

I agree that my results or testimonial may be shared by Habitual Health & Fitness for marketing purposes, with my permission.
Signature

Todays Date

Thank you for completing the application.

Once you hit submit below, I will review your responses and contact you shortly with the next steps if the pilot programme looks like a good fit for you.

Privacy statement

Your information will only be used to assess suitability for the pilot programme and to communicate about Habitual Health & Fitness coaching services.