Complimentary Consultation Application
Thank you for your interest in booking a Look Great In Your Favorite Jeans Strategy Session! If it's a good fit, you will receive an email with details and a link to my calendar to schedule your free call.
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Email address
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Your email
Name & phone #
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Your answer
How did you hear about me?
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Your answer
What are your top 3 health and wellness goals?
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Your answer
Briefly describe your current symptoms or biggest health concern and why do you want to solve this problem right now?
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Your answer
What have you already tried to resolve these problems?
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Your answer
How are these issues holding you back from your life, career and aspirations?
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Your answer
Why is now the right time for you to address these issues?
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Your answer
Age
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Your answer
Do you think friends and family will be supportive of you making changes to improve this problem?
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Yes
No
What would you like help with? Check all that apply:
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Eco friendly lifestyle, reducing my toxic load & detoxing my home
Reducing my toxic load and transitioning to a clean, eco beauty & personal care routine
Nutrition
Weight loss
Mindset & life coaching
Intermittent Fasting Lifestyle
Kelly, if I am selected and decide to work with you, I’ll find a way to invest in myself and my future:
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I have the necessary means to invest in my health and future
I have the ability to get the necessary means to invest in my health and future
I have no financial means to invest in my health and future
On a scale of 1 to 10 how committed are you to learning and making the changes you need so you can reach your goals?
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1
2
3
4
5
6
7
8
9
10
Send me a copy of my responses.
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