Please enable JavaScript in your browser to complete this form.Basic Information - Step 1 of 3Name *FirstLastGender *MaleFemaleAge *Weight (kg) *Height (cm) *Email *Phone *NextHow many times per week can you go to the gym? *2 times (not recommended)3 times4 times5 timesWhat is your body fat percentage? *Low (under 14%)Medium (14% to 22%)High (above 22%)What is your body fat percentage? *Low (under 22%)Medium (22% to 35%)High (above 35%)What is your short-term fitness goal? *Lose fatGain musclesImprove lifestyle & overall healthIncrease strength & enduranceWhat is your daily activity level? *SedentaryLightly activeModerately activeVery activeExtremely activeHow long have you been training? *Just started1-3 years+3 yearsDiscount codeSelect your desired plan *Workout plan only (3 months) - ¥ 10,000Diet plan only (3 months) - ¥ 20,000Workout and Diet plans (3 months) - ¥ 25,000Select your desired plan (Discounted) *Workout plan only (3 months) - ¥ 8,000Diet plan only (3 months) - ¥ 15,000Workout and Diet plans (3 months) - ¥ 20,000Select your desired follow-up plan *Twice - ¥ 0Once a month - ¥ 5,000Twice a month - ¥ 10,000Total amount¥ 0PreviousNextWhat time do you get up? *What time do you leave for school/work? *What time do you finish school/work? *What time do you go to sleep? *Do you have any food allergies? *NoYesWhat are these? *Do you suffer from any injuries? *NoYesWhat are these? *Upload 3 photos (front/side/back) of your current body shape * Click or drag files to this area to upload. You can upload up to 3 files. Upload 3 photos showing the equipment available in your gym, if possible Click or drag files to this area to upload. You can upload up to 3 files. Additional notes or specific requestsPreviousSubmit
