Application for Coaching Bundle including Jennifer Whitmire Private Coaching
Coaching Application
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Email *
First Name *
Last Name *
Best Phone Number *
What's your main objective for working with Jennifer Whitmire? Please provide details about any health challenges you are experiencing and the outcome you'd like to achieve. *
On a scale of 1 - 10, how committed are you to this outcome? *
Minimally Committed
100% Committed
Which of these areas of your life are impacted by your current health situation? * *
What is the cost to you, in terms of finances, relationships and fun, of not solving your current health challenges? *
Are there any foods or activities you are unwilling to include in your life, no matter the positive impact they would have on your health? If so, please describe. *Your answer *
If selected, how much time are you willing and able to invest to get your health challenges resolved and allow you to achieve vitality? *
Are there any foods or activities that you are unwilling to give up no matter what the cost in terms of your health? If so, please list. *
What's the most you are willing and able to invest to resolve your health challenges and achieve unstoppable health and vitality? *
Is there anything else you'd like to share?
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