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You’re here for a reason. Something inside you is ready for change, and this is where you begin.

Please fill out the form below so I can learn more about where you are now and what you’re working toward. Once you click submit, you'll be automatically directed to a page to book a FREE 15-minute Discovery Call with me!

Name

Phone number

Age

Referred by/How did you hear about me?

What are your main concerns regarding your weight, stress, and energy levels?

What would IDEAL success with your weight, stress, and energy levels look like to you?

What has been the biggest obstacle in hitting your goals?

So far in your journey, what have you tried to fix these symptoms/complications?

In the next 6 months what changes would you like to make? Please be specific.

Why is it important that you solve these health challenges right now VS. a year from now?

How committed are you to making lifestyle changes to reach your weight loss goals?

How soon are you looking to start working with me?

When it comes to making your weight loss a priority, what level of investment feels aligned for you?

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