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Email *
EMAIL (no spam, to email when program opens* *
PHONE (no spam, to text when program opens* *
What's your biggest issue with emotional eating? *
Scale from 1-10, how does this impact your life? Briefly describe how? *
SCALE 1-10 , how serious are you about making changes? *
Are you willing and able to invest a minimum of $500 in order to solve this? *
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