Nuffield Health
Visit Nuffield Health Moorgate
First Name
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Last Name
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Email
*
Phone Number
*
Preferred Date of Visit
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Do you?
Work Locally
Live Locally
How did you hear about Nuffield Health Moorgate ?
A friend is a member
Flyer
Internet Search
I have passed by
Saw information at work
I received an email
Other
Are you currently following a regular exercise programme?
Yes
As someone not following a regular exercise programme, when did you
last exercise regularly?
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Why did you stop?
Which of the following would you like to partake in?
Personal training
Swimming
Weight training
HIIT (High Intensity Interval Training
Yoga/Pilates
Power Plate
Squash
Golf
Spa Treatments
Wellness Services (Physiotherapy, Osteopathy, Sports Massage, Acupuncture etc_
What would you ideally like to achieve by joining Nuffield Health Moorgate?
Maintain Fitness
Improve Fitness
Lose Weight
Gain Muscle
Tone Up
Stress Reduction
Rehab
General Wellbeing
Is there a particular reason / event / timescale for this?
What areas / services of the Club do you anticipate using the most?
Cardio Equipment
Resistance
Group Exercise
Swimming
Power Plate
Spa
What time(s) of day would you be likely to use the club?
Mornings
Lunchtime
After work
Weekends
Do Not Fill This Out