Die Strong Fitness

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Die Strong Fitness

I look forward to working with you!

Email *

Record my email address with my response

NAME (First & Last) *

D.0.B. *

Phone *

FITNESS MOTIVATION *

Improve Health

Look Better

Manage Weight

Get Stronger

Other:

Required

COACHING MOTIVATION (Why Hire a Coach?) *

I'm not seeing the results I want

I'm sick of guessing my workouts

I don't know where to start

I've plateaued in my fitness journey

Other:

Required

PREVIOUS EXPERIENCE *

I've never worked out

I'm a gym rat

I'm somewhere in between

Other:

CURRENT SET UP *

No gym membership no equipment at home

A few pieces of equipment at home

Solid home gym set up

Gym membership

Other:

Required

In one sentence how would you describe your current diet?

Are you ready to change your current lifestyle to improve your health and fitness?

Yes

Clear selection

Are you ready to financially commit to your health and fitness? *

Yes

Submit

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