Thanks for reaching out to us at
BOLT Fitness Vic Park

Please fill in a few basic details below in order for us to establish if/how we can support you and your goals.

As part of your membership you'll get access to our unique M.E.A.N.T Method, this includes everything around - Mindset - Education - Accountability - Nutrition - Training - Before worrying about a membership we all need to know if we are the right place for you or not.

Full Name *

Email *

Date of birth

Phone *

What are your current goals? *

Fat Loss / Toning

Fitness

Strength

Muscle Gain

Rehab / Recovery

Other

Please be more specific on your goals?

Why are your goals important to you? *

M-Mindset (On a scale of 1-10, how motivated are you right now?) *

E - Education (Which of the following would you prefer for education?) *

Seminars

Short Videos

Handout/Cheat Sheets

None needed

A - Accountability (How often would you like to check in with your Coaches?) *

Monthly

Quarterly

Weekly Session Reminder

N - Nutrition (Which of the following do you feel you need?) *

Basic Advice

Calories and Macros

Recipe Ideas/Meal Plans

None

T - Training (How do you prefer to be trained?) *

Gentle/Soft Approach

Needs some encouragement

Loves a challenge - Push me hard

Would you like to book in with a Coach to chat? *

Yes

Not Sure

If after chatting with our team you decide you'd like to work with us, how soon are you looking to start? *

Today

1-3 Days

3-7 Days

7-14 Days

14 Days+

We have lots of FREE resources available to our members and followers, would you like us to send you some? *

Yes please

No Thanks

Any Additional Info