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Discovery Call for Weight Loss Coaching
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Email
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Your email
Name:
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Your answer
Age:
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Your answer
Gender:
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Are you looking to lose at least 10 lbs and maintain the results while enjoying your new healthy lifestyle? I only work with people who desire to achieve lasting weight loss and are open to trying a method they have never done before.
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Yes, this is exactly what I'm looking for
No, I'll leave this page now
What have you tried before (worked/didn't work)?
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Your answer
What do you need my help with?
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How soon are you looking to get help?
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Are you willing to invest in coaching if you feel it's what you need? (credit card, PayPal credit, payment plan)
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Your answer
On a scale of 1-10, how badly do you need this to change? (1 = not at all, 10 = I NEED this to change right now)
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1
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10
Why did you select the number above?
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What is the best phone number to reach you if you're selected for a call?
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