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What is your full name?
Email
What is your age?
What's the best number to reach you at?
What city / town and country do you live in?
What is your height and weight?
What are your short term (16 weeks) and long term (5 to 12 months) goals?
My coaching program is not a cheap "cookie-cutter" program. It's a hands-on 1-to-1 coaching tailored to your specific goals and needs. Why do you want to work with me?
On a scale of 1-10, how serious are you about achieving this goal?
Aside from you, is there anyone else that needs to be involved in helping you move forward with this investment today?
If I’m 100% confident that I can help you get the results you want & invite you to work with me directly, are you willing & able to invest into your own personal health and wellness?
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