Application for Nutrition Coaching
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Why are you reaching out for nutrition coaching today? What do you need help with?
First and Last Name
Where do you live?
Phone Number
How did you hear about me?
Please list some of your nutrition and health goals
Do you have any medical diagnoses we should know about?
This program costs between $320-$360/month. Are you in a place to make a financial commitment to this program?
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What's the best time of day for you to meet for our sessions?
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I understand that Bucket List Tummy is a weight-neutral practice, meaning we don't put clients on diets to lose weight. Our main focus is promoting adequate intake and a good relationship with food/exercise. *
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