J.J. Ellis Personal Trainer

0412 921 787

Enquiry Form

Let's get started!

Name

Phone

Gender

Age

under 18 18 - 29 30 - 39 40 - 49 50 - 59 60 - 69 70+

What are your goals? (tick one or more)

Weight loss Toning Fitness Strength Build muscle Speed Power

Have you had any experience with?

Weights HIIT Circuits Boxing Running groups Walking or hiking groups Other/None

How many times a week do you currently exercise?

0 1 - 2 3 - 4 5 - 6 7

The more often you train the better, but what is a realistic number of times you can train each week?

1 - 2 3 - 4 5 - 6 7

How long have you been considering getting some assistance?

Just now Last few months For the last year Longer than a year

How would you like to train?

One-on-one With a partner or small group With 5 or more people (i.e. bootcamp) Boxing for fitness groups

How would you like to receive training?

Remotely In person

Additional Notes

Email: jjellis@jjellispersonaltrainer.com.au