First Name
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Last Name
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Instagram Handle
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Phone
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Email
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How excited and are you ready to finally reach your goals?
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LFG! So excited
Ready but a little nervous
I'll pass
What does a typical day of eating look like? What is your biggest struggle? (over eating, cravings)
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Are you experiencing anything that makes you believe your hormones are off? (fatigue, low sex drive, anxiousness, hair loss etc)
What would you like to accomplish in the next 120 days?
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What's holding you back from achieving that goal right now?
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Lack of consistency
No idea where to start
Afraid to try "another" protocol
Overwhelmed and frustrated
Life is really busy right now
My partner isn't supportive
Hormone deficiency
I'm not working with you yet!
What have you tried to reach your goals already and why did that not work?
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What is your commitment level to your personal results?
1. I’m extremely committed. I’m sick of my own bullshit, and I will do whatever it takes.
2. I’m committed enough to invest in my goals but I’m afraid of “missing out” on social events.
3. I know I need help to make a change but I’m not sure if I’m ready to fully commit.
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