Segui Nutrition Coaching
Below is an application for our nutrition coaching program. Why do you need to apply? We want to make sure we're going to be compatible. Since we're going to spend a year together, let's make sure we're on the same page.
* Required
Email address
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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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Your answer
Phone
Your answer
Location
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City, Country, or galaxy if you are from outer space...
Your answer
What is your most quoted movie?
It's a toss up between Smoky and the Bandit for Greg and Christmas Vacation for Nyree
Your answer
What kind of activities do you enjoy?
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Give us one physical activity and one that's just for chilling out.
Your answer
Which BEST describes your current situation?
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I have a lot of weight to lose
I've been trying to lose the last 10 - 15lbs for as long as I can remember
I'm OK with my weight, but want to feel healthy and have more energy
What do you feel is your biggest obstacle in achieving your weight loss/dream body?
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Are you struggling with emotional eating? Do you need accountability? Lay it on us. We can handle it!
Your answer
What program(s) have you tried and had limited or no success with in the past?
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Your answer
Why do you think we can help you?
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Your answer
Are you willing to commit to a year-long investment in your health?
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We're in this together for the long haul.
Yes, I'm tired of this weight and generally feeling like crap
No, I'm good with the status quo
Are you willing to invest between $85 and $160 per month? Please check the option that best suits your needs:
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Exercise coaching only using your own equipment or gym ($65/month
Nutrition coaching only ($85/month)
Nutrition and exercise coaching using your own equipment and/or your local gym ($140/month)
I'm a Dunnville-area resident and am looking to combine nutrition coaching with a CrossFit membership at Premier Martial Arts/Grand RIver CrossFit ($160/month)
These options cut into my booze budget
Do you understand that NO magic pill, juice cleanse, detox or Wrap will get you to where you want to be? Hard work is ahead.
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I'm in. Let's do this!
Detoxes don't work? Pass me the super expensive and totally ineffective magic cling wrap.
I think I'm ready, but I'm a little freaked out.
One last thing...
Greg is 100% dogs while Nyree claims to love dogs and cats equally.
Dogs
Cats
Birds
Reptiles
Pet rocks
Other:
Clear selection
Meet Juno, the third and most important member of the Segui Nutrition Coaching team!
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