Health Questionnaire - Funnel 4 - Website Customer Enquiry
  • Do You Struggle With Your
    Health And Fitness?

    ·        Are you battling to lose weight?

    ·        Do you lack time to go to the gym?

    ·        Are you struggling to stick to a fitness routine?

    ·        Are you unsure what you should be eating?

    ·        Do you have zero motivation?

    ·        Are you intimidated by the gym?

    ·        Are you confused about where to start?

    ·        Are you fed up with not reaching your goals?


    Get ready to create new habits, join us now in one of our fitness accountability groups and get the results you desire! 

    Please take 2 mins to fill in this quick questionnaire and one of our coaches will be in touch to arrange your free 1:1 fitness consultation

    • *
      First Name
    • *
      Last Name
    • *
      Country
    • *
      Phone
    • *
      Email
    • *
      Facebook Handle
    • *
      Instagram Handle
  • *

    What is your goal with your health and fitness?

  • *Why do you want to achieve this goal? Dig deep when answering your 'Why' for this question! Is there an emotional reason behind what you want to accomplish?
  • *

    How long have you wanted to make this change?

  • *Has there been a life changing event that's made you want to make this change? i.e. having kids or an injury or illness?
  • *What exercise or weight loss programmes have you tried in the past?
  • *

    What did you like or dislike about what you’ve already tried?

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    Why did it fail for you? Why do you think it didn't work out in the long term? 

  • *

    Tell us about your support system. Would your significant other be on board with you starting this programme? Remember, 80% of people fail programmes because of lack of support. 

  • *

    How often do you go out to eat?

  • *

    How much do you spend on eating out per week?

  • *How often do you eat from vending machines or eat fast food?
  • *Do you drink soda?
  • *

    How much do you spend on coffee and/or snacks per week?

  • *

    Do you feel like you are full of energy or do you get tired a lot?

  • *

    Do you get enough sleep at night?

  • *

    At what time of day you lose energy? 

  • *

    Do you think you are at a plateau with your weight loss?

  • *Please describe your typical daily diet
  • *What does a typical day look like for you? Are you active during the day? Do you sit behind a desk? Do you watch a lot of TV?
  • *

    How much do you spend on your health goals currently on a monthly basis? i.e gym memberships, personal trainers, health foods

  • *

    Do you have a monthly budget in mind when it comes to making a difference in your health goals? 

  • *Would you be interested in saving 25% a month on your health and nutrition?
  • *Would you like to arrange a free health and fitness consultation with an Intu Fitness coach? 
  • *How quickly would you like to start a new programme?

That's all, folks!

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