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I'm super excited to speak with you!
I'm super excited to speak with you!
Please fill out this brief questionnaire below so I can be prepared for our conversation.
Please fill out the form completely.  Thanks!


(Please be as detailed as possible. Think about your vision of yourself when you reach your goals. For example, not just lose 20 pounds... But how will you look? How will you feel: less self conscious, smaller size, increased happiness, feel less stressed, feel healthier, be more desirable.)


(For example: Low self esteem, not happy, not confident, physical aches and pains, health issues.)

(Write down all the reasons why this will make your life better. For example: looks, dating, work, self confidence, better parent, etc...)






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