First name
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Last name
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Email
Please use the same one you gave for your appointment booking.
Phone
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How much weight are you looking to lose?
Other than weight loss, what other health markers are you interested in improving (energy level, cholesterol, high blood pressure, blood sugar levels, etc.)?
What is your main struggle in achieving the results you desire?
What are you currently doing to achieve the results you desire?
"If someone advised me to use techniques like meditation, nlp, hypnosis and visualizations daily in order to lose weight and improve the habits I have been struggling with, I would..."
Be 100% open to learning about it because what I am doing now isn't working
Be a little bit skeptical but open to learning something new that would help me
Not be open to anything that has to do with habits and the mind because I already know what to do
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FINALLY, ON A SCALE OF: "1 - ROCK STAR" HOW AWESOME ARE YOU?
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