Let's get started!
I would love to help you take your health and life to the next level! Please fill out this form so I can learn more about you. When you are done, you’ll be redirected to my calendar to schedule a call with me so I can learn more about how I might support you, and you can learn more about Higher. I am dedicated to making this the most incredible health & life coaching experience you've ever had! I look forward to speaking with you soon. :)
Date
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Month
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Day
Year
Date
Where do you live?
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Full Name
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First Name
Middle Name
Last Name
Preferred Primary Phone
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Country Code
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Area Code
Phone Number
E-mail
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example@example.com
How old are you?
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Height
Weight
What is your job/occupation?
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How motivated are you to succeed on a scale of 1-10?
What are you trying to accomplish in your health/fitness in the next year?
What strategies have you tried to improve your health/fitness that worked and didn't work?
How did you find me?
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Instagram
Facebook
Tik Tok
Inside Out Health Podcast with Tara Garrison
Another podcast
Short Term Keto Book
Referral/Recommendation by a friend/physician
Other
Do you have any health issues, disorders, conditions, etc? Please describe.
What is it that most prompted you to take action and inquire about working with me?
Coach Tara's HIGHER Coaching is a high performance program that delivers results. Is it feasible for you to invest $2000+ for coaching if the value was worth it to you?
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Yes
Thank you! We will add this to your client file to make sure we provide you with the most powerful solution for your needs and goals.
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