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Work with Emma Kelly Nutrition
Answer the questions below and I will be in contact! Do your best to be honest with all your answers! I am here to help, not to judge(:
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First and Last Name
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Birthday
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Phone Number
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How would you like to be contacted?
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Is there a time of day best for you to be contacted?
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Have you ever met with a Registered Dietitian before?
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Tell me a bit about yourself!
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How would you describe your eating habits?
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Describe your exercise habits
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What are you looking to get out of this experience with me?
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What prompted you to fill out this form?
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Do you prefer in person or virtual sessions?
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