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Minded Nutrition Application
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Full Name *
Email Address *
Phone Number *
Social Media Handle or Name
What prompted you to reach out to me for help? *
What are your biggest challenges or obstacles with your nutrition? *
On a scale of 1 to 10, how committed are you to making changes with your nutrition? *
Are you looking for an overly structured/strict meal plan, or does something a bit more flexible sound appealing to you? *
At this time, are you willing to make a premium investment in your nutrition goals and a coaching program? *
Do you have any reservations about joining a nutrition coaching program? If so, please list them here! *
Is there anyone else involved in the decision-making process that needs to be involved on our call? *
If we decide we are a good fit to work together during our phone chat, will you be ready to start in the next 30-60 days? *
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