Name
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First Name
Last Name
Email
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Instagram handle (if not on instagram, type N/A)
What state, and time zone, do you live in?
How did you find me?
What prompted you to reach out for help? What is the problem?
What are your current health and nutrition related goals? (please list in order of importance!)
What have been your biggest challenges or obstacles in achieving your goals?
On a scale from 1-10 (10 being the highest) how ready are you to change your daily eating and lifestyle habits in order to reach your goal?
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Do you have any reservations about joining a nutrition coaching program? If so, please list them here!
Are you more interested in...
My level 1 price starts at $447. This Reverse Prediabetes Coaching Program is a high-touch, comprehensive coaching/educational program. After participating, clients feel confident in their nutrition strategy and develop the ability to improve insulin sensitivity (and with it improved insulin and blood sugar levels!), reduce symptoms of inflammation and lose weight all in a way that is sustainable for life. If we determine this program can help you reach your goals, are you willing to consider making a financial investment in yourself at this time?
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LAST STEP! Please provide your **cell phone number** on the line below. Once you've submitted your application, I will follow up via text message or IG DMs (within 1-2 business days) with some follow-up questions, more info about how program works, and pricing options based on your coaching needs. If it's looking like a good fit then we'll select your program start date and get your healing journey rolling!
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