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Interested in getting Focused On Physical?
Phone # :
First Name :
Last Name :
Rate your experince with exercise.
Some, but not much
I DO THIS
Rate your ability to perform cardio exercise.
Rate your overall activity level.
Little to no exercise
Light Exercise ( 1 -3days )
Moderate Exercise ( 3 - 5 days )
Heavy exercise ( 6 - 7 days )
Very Heavy Exercise ( twice per day, extra intense workouts )
Do you exercise regularly?
I never have
I use too
I currently do
Interested In ???
1 on 1 Training
Not Sure ?
Are you ready to mentally invest in your health today?
Are you ready to financially invest in your health today?
Prefer Call or Text
What do you do?
What area do you live / work?
What are your
for seeking out help? Why Darius?
Do you have any specific injuries and / or limitations?
What experience have you had with exercise and nutrition?
Where will you be working out? Equipment available?
Whats days and times are you available to workout?
Any other comments about what you would like to see in your training program?
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