Pre-Call Questionnaire
To confirm, you are filling this out because you are trying to lose 10-20lbs or more, build self confidence, optimize your hormonal function, and are tired/ frustrated of feeling "stuck"?
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Yes!
No - I'm content where I'm at
Which of the below best describes your current goals?
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I want to lose stubborn fat, regain my energy, + feel good in my body
I want to restore my hormones and understand why my past attempts at "diets" have failed
I want to lose some weight and feel more confident in my skin + regain a healthy relationship with food
I want to build some muscle and look toned
I'm not really sure what my specific goal is but I know that my current approach to nutrition, fitness, and health is not working
What areas are you looking for the most support in if we were to work together? (Click all that apply)
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stalled weight loss
poor digestion (bloating, constipation, etc.)
hormone imbalance (fatigue, mood swings, weight gain, etc.)
unsure of what to eat to achieve my goals
maintaining discipline (keep falling off track and starting over)
lack of confidence in the gym or with current training
Have you ever worked with a 1:1 Coach in the past? If so, what was your experience like?
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Yes, it was a positive experience
Yes, but i didn't get what I was looking for
No, I have not worked with another coach in the past
How will working with me/us and achieving your goals impact your life?
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Do you have a significant other? If so, are they supportive of you potentially investing in your weight loss, health, and personal growth?
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Yes, they are supportive of my goals
Yes, but this is my decision to make
Yes, but they may need to be on the call with me to make a joint decision
No, I'm single and make my own rules lol
Were you referred to us by someone? If so, who can we thank?
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Last question! If you were to find a way to achieve your dream body, optimize your hormonal function, and learn how to keep your results for LIFE, would you be willing (and able) to invest in getting the help necessary to get there?
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Yes, I have the resources to invest in myself!
Yes, I'm resourceful and/or have access to credit to figure this out.
No, my cash flow is month to month and I have no access to other resources like credit or borrowing from a friend/ family member.
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Email
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