The Nourished Betty 14 Day Boot Camp Intake
Congratulations! You did it! You took the time to be Curious about You & Getting Help for you! That is a Big Step!!! In order to help you better and discover if the Boot Camp Experience is for you, Please answer these questions to the best of your ability! The more honest you are, the better. If you get stumped on a question, take your time, skip it and come back to it. - You can even walk away from the whole form & come back to it - Just keep it open on your computer! I look forward to talking with you more about your answers! Be Well!
FAWN (Nancy)
Email address *
Phone Number (if you want to be called)
Your answer
Name *
Your answer
What are your weight loss goals?
Your answer
How long have you had these goals?
Your answer
What has stopped you from reaching these goals thus far?
Your answer
What has worked for you in the past to reach these goals?
Your answer
What hasn't worked for you to reach these goals?
Your answer
What will reaching these goals do for you/ for your family/ for your career/ for your relationships?
Your answer
If you don't start taking action now, what will life be like 6 month/ 1 year from now?
Your answer
Is it concerning to you that you haven't yet found a way to reach your goals?
Your answer
What is this costing you right now to not be at the level of health you desire?
Your answer
So Why is Now the time to change?
Your answer
Are you a motivated Self Learner? *
How do you learn best? *
Briefly explain how you learn best *
Your answer
Are you willing to be Accountable for your actions or lack of action? *
Are you ready to apply new habits to your life? *
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