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Your Contact Information

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Pre-Call Questions

What is your age? *

Current Weight *

Goal Weight *

Tell me briefly about your goals: *

If you decide you'd like to work with me, how soon are you looking to get started? *

What is your biggest struggle? *

What is your why, and what is driving your health desires? *

Can you make financial decisions WITHOUT your spouse's input? *

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Where did you hear about my program? *

What is WORKING WELL for you right now? *

Have you ever worked with a coach before? *

Yes

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Are you willing to invest in coaching if you feel it’s what you need? (credit cards, loans, paypal credit)? *

Yes

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