The SimplyFit Dietitian Questionnaire

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Please answer all of these questions with as much detail as possible.

Email *

First & Last Name *

Phone Number *

Have you ever worked with an RD for custom nutrition counseling before? *

What brought you here today? Why are you taking this step to change your eating habits? *

What is the #1 goal you want to achieve by working with me? Give me detail, not just the date of an upcoming event! 😉 *

How will you FEEL when you reach this goal? What does success look like for you? *

Are you willing to make changes to not only your eating habits, but also lifestyle changes to reach this goal? How BAD do you want to reach your goal? Are you OK with not following a fad diet or eliminating entire food groups? *

What is stopping you right now from reaching your goals? *

Are you willing to make a premium coaching investment in YOURSELF to learn how to eat right for the rest of your life? Are you willing to invest NOW, so that you can be free from restriction, deprivation, and food guilt? *

Are you ready to COMMIT to change? Are you excited to learn HOW to eat, not just WHAT to eat? *

If I give you a compelling roadmap to success, are you willing to give me a definitive Y/N at the end of our call? *

Yes

Is there anyone else involved in the financial decision making process that needs to be present during our phone call? *

Yes

THANK YOU!

I appreciate you being open and honest and I can't wait for the changes and progress that my coaching can help you achieve. Not only will you experience physical change, but there will be a positive mental shift if you stay consistent during your journey. Cheers to a more confident, empowered, radiant YOU!

Send me a copy of my responses.

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