Thank you for your interest in working with me!
Before we schedule a call to chat, please fill out the questions below in order to best prepare me for our time together. Thank you and I look forward to speaking with you!
Email address *
First & Last Name *
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Date of Birth *
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How did you hear about Barefood Nutrition? *
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What is the best contact number to reach you? *
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1.) What are your current symptoms, health challenges or concerns? *
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2.) How are you currently trying to remedy those challenges or concerns? *
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3.) Which of the following have you worked with in the past or are currently working with? *
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4.) What have you already tried to address your main health concern(s)? *
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5) Are you currently taking any medications or supplements to treat or manage any of your health concerns? *
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6.) What are your main goals you hope to accomplish by working together? *
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7.) On a scale of 1 to 10, how ready are you to take action towards improving your health?
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I am very ready!
8.) Is there anything in the way of you becoming healthier? *
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9.) Are you ready to invest time, energy and money toward your health? *
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10.) Are you interested in working in person in San Diego, remotely or both? *
11.) Is there anything else you would like to share with me? *
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12.) When are you available to talk further about working together? *
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