Online Coaching Application
What is your FULL name?
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Gender
Age
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Height
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Current Weight? (If known)
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How did you hear about Deme?
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What are some of your specific goals? Something you'd like to accomplish in the next 12-14 weeks?
Your answer
Deme CARES MORE about your progress then anyone you'll find. Are you absolutely committed to accomplishing your goals with her? *
What would be the biggest thing holding you back from achieving your results?
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What's your email address?
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How are you approaching this application call?
Allergies or dietary restrictions?
Is there anyone else involved in this decision to live a healthier lifestyle?
If we reached your goal, what would that change for you? What would that look like? How would that effect your life?
Your answer
How often do you eat out?
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Out of all of the online coaches in the world, why would you like to work with me specifically?
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Phone Number
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Please select a time and date that you are available for a quick 15 min consultation to see if we are a good fit.
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Any additional information you would like me to know! (I'm all ears!)
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