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Home
About Us
Services
Contacts
Daniel Khalil
PR and Customers relations
DANIEL KHALIL
PR and Customers relations
FREEDOM
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FOCUS
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CONFIDENCE
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STAMINA
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LET US HELP YOU ACHIEVE YOUR GOALS
Your First Name
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Your Last Name
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Gender
Male
Female
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Age
3-18
19-29
30-45
45+
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Weight
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Height
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Phone Number
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Your E-mail Address
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GOAL
How can we help you? (Knowing your goal helps us give you the right service)
Boxing skills (knowing how to punch and fight)
Body shape (how you want your body to look like)
Endurance (improve physical performance and participation in activities with less stress)
Flexibility (increase self-discipline and decrease risk of injury)
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Are you getting bullied?
Yes
No
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We’re here to improve your self-confidence!!
[{"field":"{option_5}","logic":"contains","value":"Yes","and_method":"","field_and":"","logic_and":"","value_and":""}]
[{"field":"{option_1}","logic":"contains","value":"Self-defense (knowing how to punch and fight)","and_method":"and","field_and":"{age}","logic_and":"contains","value_and":"3-18"}]
How do you want to improve your boxing skills?
Learn how to punch
Self defense
Relieve stress
Increase focus
Reflex
Learn how to fight
Increase hand and legs coordination
[{"field":"{option_1}","logic":"contains","value":"Boxing skills (knowing how to punch and fight)","and_method":"","field_and":"","logic_and":"","value_and":""}]
Field is required!
Field is required!
How do you want to improve your body shape?
Toned body (fit in clothes and get more strength)
Build muscles (I want my muscles to pump)
Burn fat (slim down and feel better)
[{"field":"{option_1}","logic":"contains","value":"Body shape (how you want your body to look like)","and_method":"","field_and":"","logic_and":"","value_and":""}]
Field is required!
Field is required!
Other
[{"field":"{option_1}","logic":"contains","value":"Body shape (how you want your body to look like)","and_method":"","field_and":"","logic_and":"","value_and":""}]
Field is required!
Field is required!
Where do you want to build the muscles?
Lower body
Upper body
Entire body
[{"field":"option_2","logic":"contains","value":"Build muscles (I want my muscles to pump)","and_method":"","field_and":"","logic_and":"","value_and":""}]
Field is required!
Field is required!
Where do you want to burn fat?
Lower body
Upper body
Entire body
[{"field":"option_2","logic":"contains","value":"Burn fat (slim down and feel better)","and_method":"","field_and":"","logic_and":"","value_and":""}]
Field is required!
Field is required!
How often do you work out per week?
Never but I want to get started
Twice per week (slightly active)
3 times per week (I work out regularly)
5 time or more (I’m an athlete)
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Field is required!
What kind of workout you practice?
Gym
Body weight
Cardio
Others
[{"field":"{option_3}","logic":"contains","value":"Twice per week (slightly active)","and_method":"or","field_and":"{option_3}","logic_and":"contains","value_and":"3 times per week (I work out regularly)"},{"field":"{option_3}","logic":"contains","value":"5 time or more (I\u2019m an athlete)","and_method":"or","field_and":"","logic_and":"","value_and":""}]
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Field is required!
What’s getting in your way and stopping you from working out?
Nothing
Lack of energy and motivation
Lack of consistency
I have no idea where to start
Busy schedule
Others
[{"field":"option_3","logic":"contains","value":"Never but I want to get started","and_method":"","field_and":"","logic_and":"","value_and":""}]
Field is required!
Field is required!
Do you suffer from any injuries?
Yes
No
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Field is required!
State it or them below
Injury(ies)
[{"field":"option_6","logic":"contains","value":"Yes","and_method":"","field_and":"","logic_and":"","value_and":""}]
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