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Educating Earthlings Client Form
Help me get to know you better! This will help me create your personalized plan!
Name (First & Last)
Phone number (for consultation)
What service are you looking for?
Monthly Meal Plans Only
Month Workout Plans (Gym)
Month Workout Plans (Home)
What is your daily schedule like?
I work a 9-5 job
I work from home
I work evenings/overnights
I am a student
Other* explain in last question
How many people are in your household?
Me and one other
Family of 3
Family of 4
Family of 5+
Do you eat a plant based diet?
Sometimes & would like to eat more plants
I do, but others in my household no not
What are your top 3 health & fitness goals?
What is your monthly online coaching budget?
Less than $60 per month
$60 - $150 per month
No budget, give me the best you got! ($150+)
I prefer an annual membership ($350+ per year)
I prefer a one time fee (one-time eBook download)
Tell me more! (anything else you want to add)
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