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6 Months to Food Freedom Program
Private Coaching Application
1. Congratulations on deciding to take control of your health! What is your name?
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First
2. Why have you made a decision to get healthier and reach out to me for help?
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3. Was there something that prompted you to reach out for help like a milestone or event coming up?
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4. What do you hope to achieve by working with me? How would those results make you feel? Please use as much detail as possible!
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5. What is preventing you from reaching your goals right now?
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6. The value of my coaching program requires an investment in yourself, are you willing to do this to get to your goals?
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Yes
No
7. Is there anyone else in the decision making process who needs to present during our call?
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Yes
No
8. What is your e-mail address?
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9. If you use Facebook/Instagram please leave the link to your page(s) below. Sometimes my first email response goes to spam so I want to make sure I can get a hold of you!
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10. What is the best phone number to contact you?
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