This form is to help me get to know a little bit about you, so that I can determine if we might be a good fit to work together in making significant changes in your life. Please give me as much detail as you feel comfortable.
Your email address
What is your biggest challenge right now and how long has this been going on?
Have you done any work around this challenge?
If yes, what kind of work?
On a scale of 1 - 10, how important is it to you to get this resolved?
It's kind of important, but not a priority.
Very important. I want to work on this now.
How much is resolving this challenge worth to you in terms of time, dollars, and energy?
What areas of your life will be affected by resolving this challenge?
Are you ready to do a consultation with me, as your nutritionist?
No, I was hoping you could just give me some quick tips
I don't know
Are you interested in follow up coaching?
Are you interested in a custom meal plan?
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