Online Intake Form

This form is a simple starting point to help me understand your goals, experience, and the kind of support you’re looking for. It’s an alternative to booking a live consultation and works well if you’re overseas, short on time, or prefer to reflect before chatting. There’s no obligation — once submitted, I’ll review your information and be in touch with next steps.

First name

Last name

Country

What’s prompted you to reach out now?

What would you most like support with?

Building strength

Improving confidence with exercise

Menopause / perimenopause support

Returning to training after a break

Injury-aware training

General health and ageing well

Other

Have you done any strength or resistance training before?

No, I’m new to this

A little, but not consistently

Yes, I have some experience

Other

How many days per week are you realistically able to train?

1-2

2-3

Other

Do you have any injuries, health conditions, or pain I should be aware of?

Are you currently navigating perimenopause or menopause?

Yes

Prefer not to say

Unsure

Other

What type of support are you most interested in?

1:1 Personal Training (in person)

Online coaching with accountability

Personalised programming only

Not sure — I’d like guidance

Other

How do you prefer to communicate?

Zoom / video call

Email / written feedback

Either

Other

Is there anything else you’d like me to know about you or your situation?

Would you be happy to share short videos of basic movements (e.g. squat, lunge, press)? These don’t need to be perfect and help me understand how you move so I can tailor your programme safely.

Yes

Not right now (that's completely fine)

Aroha Fitness

Strength for Every Body

Contact Form

We’d love to hear from you — get in touch for guidance or a free consultation.

Thanks for submitting!

bottom of page