Congratulations - You're taking action.
I love that you're here. Way to go. You're taking steps to reach your goals.....That's HUGE! (and needed for success)
If you’re ready to make a serious investment in your mental and physical health, end weight struggles and live the life you've been wanting...then I'm looking forward to speaking with you.
Sign in to Google to save your progress. Learn more
Email *
First and last name
How did you find me? *
Goals/Concerns *
Required
What are you struggling with the most right now when it comes to health/lifestyle? *
Out of those concerns listed above, which one(s) feel most important or urgent? *
What makes it/them important/urgent to you? *
What have you already tried that has not work? Or, what has worked for a bit and then stopped working? *
If I could wave a magic wand and get you the results you're after, what would those results look like? What would make you incredibly happy? *
What is blocking you or holding you back from getting these results now? *
How would you feel if you had a step by step plan laid out in a simple way to help you achieve the results you wanted? *
Are you ready and willing to make a financial and time commitment to get your ideal eating habits? *
I'd love to speak with you. What is your general availability in your time zone for a coaching session? *
I usually do these over the phone or video calls.
Anything else you'd like for me to know? Or ask?
Feel Free to reach out to me anytime directly: Leah@leahgaspar.com
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Total Health by Leah. Report Abuse