Please, Tell Me a Bit About You...

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This will help me get to know you, where you have been and where you are in your journey.

What is your first & last name? *

Email address *

(I don't like SPAM either. I do not share you email address with anyone.)

What is the best phone number to reach you ? *

What is your mailing address? *

How did you hear about Tres? *

Please include location if you heard Tres speak

Do you struggle with any of the following? *

(Check all that apply)

Eating too much In general?

Compulsive (binge) eating at selected times?

Eating the wrong foods?

Not eating enough food at times?

A very slow metabolism?

Excess weight due to medications and/or medical condition?

Maintaining consistent exercise?

Required

At what age do you feel you began struggling with your weight? *

Please list age and/or any events or experiences that contributed to your weight struggle.

Have you gained/ lost weight before? *

Yes

How much money per month do you now spend on health services & medications? *

(for joint pain, arthritis, thyroid conditions, diabetes, hypertension, heart disease, chiropractic care, sleep disorders, respiratory conditions, etc.?)

$0 - $100

$100 - $500

$500-$1000

Over $1000

In your life, how much have you spent on your weight loss efforts? *

weight loss efforts (including: doctor visits, exercise equipment and gym memberships, diet programs, special food, cleanses, supplements, essential oils, acupuncture, hypnosis, nutritionists, counseling, etc.)

$0 - $1000

$1001- $5000

$5000- $10,000

More than $10,000

If you knew beyond a shadow of a doubt, that a few months of coaching would permanently eliminate your weight battle & help you live effortlessly at an ideal weight, how much would you pay? *

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