Coaching Pre-Application
Pre-application
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Email address *
First and Last Name *
How did you hear about my coaching services? *
Age *
Height *
Weight *
Body Fat Percentage
Biologically Male or Female? *
Why are you considering coaching? What do you hope to achieve? *
What are you currently or have recently done to resolve the problem that you are seeking coaching for? 
Have you worked with a coach before? If so, what was your experience? *
Please list your top health concerns/symptoms if any.
What is your current activity level like (how often to you work out, type of exercise or are you sedentary)? *
Do you struggle with binge eating, compulsive eating, and or food addiction?

**Note, my program is not appropriate for those that struggle with anorexia.
 *
Do you understand that there may be some level of discomfort and that you may experience a range of emotions when making changes? *
While I give my clients lots of positive reinforcement and I am never mean, judgemental or condescending, I am a "tough-love/direct communicator" coach who expects clients to fully participate in my program. Are you prepared for that kind of accountability?  *
Have you looked at my website and understand the coaching costs and payment options?

https://www.foodfreedomwithmary.com/privatecoaching *
What questions do you need answered in order to make a decision to get started? *
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