-- Sportz Academy Questionnaire --

Please complete this quick questionnaire to register your interest in any of our facilities. By doing so you will be entitled to a FREE 1 day VIP pass at Sportz Academy.

The fields in bold must be completed before this form can be submitted.

Title
First name
Last name
Date of birth
Gender
Address 1
Address 2
Address 3
Postcode
Contact telephone number
Alternative contact number
Email address
Confirm email address
Your job title
Your employer
Which was the last health club you belonged to?
How did you hear about Sportz Academy?
Who is the membership for?
How long ago did you last exercise?
What's the main exercise you've done in the past?
How many times per week did you used to exercise?
What was your main reason for stopping exercise?
What's making you want to start again?
Current fitness level
What is your main priority?
What results do you want to see and by when?
Which facility or service are you most interested in?
Which type of exercise class are you most interested in?
Additional information

Sportz Academy fully respects your right to privacy and will not collect any personal information about you on this website without your clear permission. Any personal information which you volunteer to Sportz Academy will be treated with the highest standards of security and confidentiality, strictly in accordance with the Data Protection Act 1998. Sportz Academy does not collect any personal data about you on this website, apart from information which you volunteer (for example by emailing us or by using this online form). Any information which you provide in this way is not made available to any third parties, and is used by Sportz Academy only in line with the purpose for which you provided it.