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Marvelous Menopause
Staying Happy, Healthy and Strong through midlife and beyond
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Email
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Your email
Full Name
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Your answer
Menopause can be Challenging
Email Address
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Your answer
Phone Number
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Your answer
Social Media Handle or Name
Your answer
What prompted you to reach out to me for help?
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Your answer
What are your biggest challenges or obstacles with peri-menopause or menopause?
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Your answer
On a scale of 1 to 10, how committed are you to making changes with your lifestyle and nutrition?
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1
2
3
4
5
6
7
8
9
10
Are you looking for an overly structured/strict plan, or does something a bit more flexible sound appealing to you?
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Your answer
At this time, are you willing to make a premium investment in your health goals and a coaching program?
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Yes
No
Maybe
Do you have any reservations about joining a women's hormone balancing coaching program? If so, please list them here!
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Your answer
Is there anyone else involved in the decision-making process that needs to be involved on our call?
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Your answer
If we decide we are a good fit to work together during our phone chat, will you be ready to start in the next 30-60 days?
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Yes
No
Maybe
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