Customized Online Coaching with Amira
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What's your full name?
How did you hear about me?
Have you ever invested in a nutrition/fitness/health program before?
If yes, which one(s) and what were your results?
If no, what makes you want to now?
On a scale of 1-10 (10 being the highest) how committed are you to achieving this goal?
What's your best email address?
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