New Members Let us get to know you.. Name * First Name Last Name Email * Phone * (###) ### #### Which of these sentences best describes you? * Choose one I am keen to start my mind-body fitness journey, and/or I am re-starting my fitness journey after a hiatus (eg. pregnancy, injury, illness, busy work schedule) I am active; I mostly channel my energy into mind fitness I am active; I mostly channel my energy into body fitness I am active; I like to strike a balance between mind and body fitness I am highly active; I mostly channel my energy into body fitness I am high active; I like to strike a balance between mind and body fitness What are your fitness goals? * Choose as many as apply Improve my posture and/or reduce back pain Improve my mobility, proprioception (perception or awareness of the position and movement of the body) and balance Regulate my nervous system and emotions, improve my reaction to stress and calm my mind Complete a physical challenge, such as a 10km run, triathlon or CrossFit competition Develop or acquire a new skill, such as a headstand or a muscle-up Invest in my future self; lay foundations now to safeguard my health and wellness in the future Be able to keep up with my children, or get down onto floor and back up with ease whilst playing with my grandchildren Other Other, please specify Which of the following HOLD fitness modalities are you interested in? * Choose as many as apply Yoga Pilates Yoga-Pilates fusion Meditation Strength and conditioning Interval training How much time can you realistically carve out during a regular, routine week for your mind-body fitness practice? * 1 session = 30-60 minutes. Choose one 1 or 2 sessions 3 or 4 sessions 5 or 6 sessions Which of the following fitness modalities and activities do you currently practice? * Choose as many as apply Cardiovascular and endurance training, such as swimming, running, cycling, walking and rowing Strength and conditioning training, such as traditional weightlifting, body weight strength training, and resistance training Circuit and/or interval training, including CrossFit Contact sports and/or martial arts, such as rugby, boxing and Brazilian jujitsu Team sports such as football, hockey and netball Adventurous pursuits, such as hiking, kayaking and climbing Yoga Pilates and/or barre Meditation Dance Horse riding Other Other, please specify Thank you!
