Empowerment Project Questionnaire
Be as detailed as you feel comfortable with
Name *
Your answer
Email Address *
Your answer
Please describe your relationship with food, history with dieting and where you're at currently and do track your food? if so how? *
Your answer
Do you work out? What do you work outs look like? *
Your answer
What is your biggest pain point right now? (what is keeping you up at night?) *
Your answer
What is your ideal outcome of us working together? *
Your answer
What are your limiting beliefs surrounding that outcome?
Your answer
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