Welcome to the Expect. Weight Loss Clinic Pre-consultation Questionnaire!
I would like to applaud you for reaching out to learn more about Expect. Weight Loss Clinic. Wellness is something we are incredibly passionate about, and we look forward to learning about your health journey. As your coach, we are happy to talk to you about our program.

First, please answer the following questions to support us during the consultation. These questions are used for informational purposes and will remain confidential. Submitting your answers does not obligate you to sign up for program in any way. However, they are mandatory to complete before we are able to proceed to a consultation.

Email address *
Name *
Your answer
Age *
Your answer
Best email *
Your answer
Cell phone number *
Your answer
City *
Your answer
Occupation *
Your answer
How did you hear about Expect. Weight Loss Clinic? *
Your answer
What is your definition of health? *
Your answer
How would your life be different if you had the body, health, and well-being that you dream of? *
Your answer
What would you be able to do that you cannot now? *
Your answer
What has prompted you to make a change? *
Your answer
What are three primary results you MOST WANT in terms of your health and diet? *
Your answer
On a scale from 1-5, how ready and willing are you to financially invest in a coaching relationship? 1 = not so much, 5 = I am ready! *
Do you have any questions? Or is there something else you want us to know as your coach? *
Your answer
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