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One-on-One Coaching

First Name

Last Name

Phone Number

Email

What do you feel is your biggest struggle with your weight or health right now?

What's Your Biggest Goal Right Now?

If you feel like my coaching could be the right fit for you, what kind of budget do you feel comfortable investing in yourself right now?

If you feel like my coaching could be the right fit for you, what kind of budget do you feel comfortable investing in yourself right now?

A

I have the money and I am willing to invest

B

I have the money but my budget is tight

C

I don't have the finances right now

D

I am just looking for some fitness advice

On a Scale of 1- 10 How committed are you to achieving your goals?

Untitled linear scale field

0

1

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8

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10