Which service do you require? HealthHub MOT
Vigour Health Club Membership
Personal Training
Pick your ideal day Monday
Tuesday
Wednesday
Thursday
Friday
Ideal time 09:00
09:30
10:00
10:30
11:00
11:30
12:00
12:30
13:00
13:30
14:00
14:30
15:00
15:30
16:00
16:30
17:00
17:30
18:00
18:30
How much support and attention would you prefer? Once a year
Every 6 months
Every 3 months
Every month
Every week
What is your main problem? I’m not as active as I want
I feel good but want to be proactive about my future health
I have niggles, aches or pains when I move
My balance is worsening
I’m getting weaker
I’m getting stiffer and less agile
I’m overweight and can’t shift it
I struggle to stick to healthy habits with food, exercise or lifestyle
I’m stressed and struggle to prioritise self-care in my day
I lack energy and feel constantly tired or unwell
I don’t sleep well
All of the above!
Other (please state below)
What is concerning you most? How to help myself stay as healthy and physically fit and prevent future problems occurring
Injuring myself or aggravating other problems if I start or return to sport / activity
Getting older and how I will feel if this is how I am now
My weight and how this is affecting my health and movement
Not being able to stick to new healthy habits in movement, exercise, and lifestyle
Causing more problems by exercising
My old problem to returning after recent treatment
Causing problems or injuring myself by ramping up the intensity of your existing training regime
How long have you suffered or worried? Haven't - this is prevention (not cure)
A few days
0-2 weeks
2-4 weeks
1-3 months
3+ months
Years
What is the main goal you would like to achieve? Preventing future problems occurring by staying healthy and physically fit.
Maximising my health and fitness potential
Avoiding injuries or aggravating other problems when I start or return to a sport, activity, or physical challenge
Feel safe to push myself with movement and exercise so I avoid injuring myself
Support and accountability to stick to a health, exercise and lifestyle plan
Preventing old habits or health problems returning after treatment
Prevent worsening of long-standing health or body problems
Review my current self-help strategies for old problems
Stress management
Weight loss
Feeling energised and full of vigour
How did you hear about us? Word of Mouth
Refer a Friend Campaign
Google
Email Campaign
Gazette
Parish Magazine
Signage
Free Report
Referral
Social Media
Workshop
Local
GP or Consultant
Other Health Practitioner
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