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Welcome
Please fill out and submit this form to see if you are right for my Nutrition Coaching Program..
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1
Why did you reach out to me today to join my nutrition coaching program?
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2
What are your main goals?
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3
How long have you been trying to reach these goals?
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4
What obstacles or challenges are preventing you from reaching your goals?
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5
It is likely that we will not discuss calorie counting early on in this program (if ever). Are you ok with that?
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6
Are you willing to track your food daily short-term?
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YES
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7
How important is it for you to reach your goals?
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8
How much effort are you willing to put int achieving your goals?
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1
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None
Whatever it takes
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9
Is now a time that you are willing to financially invest in yourself to finally achieve and maintain your goals?
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YES
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10
Is there anyone else who would be involved in your decision to join my nutrition coaching program?
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YES
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11
If I am able to give you a roadmap that will take you from where you are to where you want to be, will you commit to giving me a yes or no answer before we end our discovery call?
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YES
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12
Name
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First Name
Last Name
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13
Email
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example@example.com
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14
Phone Number
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Please enter a valid phone number.
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