First Name
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Last Name
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Email
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Date of birth
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Location
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Which Coach would you like to work with?
Coach Kiera
Coach Kim
Coach Abby
Whichever coach matches best with my goals
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What are your top 3 health goals right now?
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Describe your current health status and experiences. (i.e. injuries, medical conditions, hormone imbalances, sleep consistency, stress levels, energy levels, nutrition focuses, exercise/movement routines, etc)
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What are your biggest challenges when it comes to your health and wellness?
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What would you expect from me as your coach if we began working together?
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Is there anything else you think we should know?
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