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Apply for my coaching program
I am so excited that you are considering working with me.
Please fill out this application so I can get to know you.
Please note that I only work with clients who are a good fit and willing to work with my method, this is a very supportive and educational program, and takes commitment.
DISCLAIMER: I currently do not work with women who are purging, or working on recovery from anorexia. If you struggle with these things please reach out to an eating disorder professional so you can get the support you need.
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Email address
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Your email
I'm so happy you have found me, please watch the video below to find out how I can help you lose weight, feel confident & in control.
First & last name
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Your answer
Phone number
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Your answer
Best email address
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Your answer
Social media
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Your answer
What prompted you to reach out to me for help today?
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Your answer
What are your biggest challenges or obstacles with your nutrition?
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Your answer
Do you do well with high accountability?
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On a scale of 1 to 5 with 5 being definitely, how committed are you to your personal goals?
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5
Are you looking for an overly structured/very strict meal plan or does something which requires lifestyle, mindset changes and is a little bit more flexible sound appealing to you
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Your answer
Is there anyone else involved in the decision making process that needs to be on the call?
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At this time, are you willing to make a premium investment in your nutrition goals and a coaching program?
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No
My coaching is for a minimum 12 week period, the cost is cheaper if payed in full or can be paid in 3 equal installments. Are you willing to commit to this time frame and make payment on the discovery call?
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