Thanks for scheduling your call! We can't wait to speak with you.
Please fill out the questionnaire below in preparation for your call.
First Name
Last Name
Email
Phone Number (text message)
Age
What is the number one area you struggle with in relation to health and wellness?
In creating your health and wellness results, what would you love? (Goals)
On a scale of 1-10, how motivated are you to make a change? Feel free to comment.
Why are you seeking support now and not 6 months or a year ago?
Occupation?
Does your work require high energy expenditure or are you sedentary? Please briefly describe:
Does your schedule effect your ability to eat regularly? If yes, briefly explain:
Does your schedule effect your ability to maintain a regular sleeping schedule? If yes, briefly explain:
If you knew you could achieve your results, are you willing to make a financial, emotional and time commitment?
The fastest way to achieve your results is through personalized coaching. My price points for my coaching services are in the range of about a buck a day to a few bucks daily. Are you interested in investing in yourself with personalized coaching?
Is there anything else you want me to know about you?
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