Personal Strategy Call Form

Personal Strategy Call Form

Hi and thanks for applying for a complimentary Personal Strategy consulting call. The purpose of this 30 minute, no pressure, no obligation call is so I can get to know you and assess your challenges and goals, to see how I can best support you. Not everyone is a good fit for my programs and I will give you an honest assessment and suggestions for what I think might be best next steps for you... regardless of whether we are a good fit or not. Please fill in the questions below as this will help to make our call more productive. After I receive your form I will get back to you to schedule your call. I look forward to chatting!
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
1. What Are Your Primary Interests? Check the ones that apply to you.

A. weight lossB. Learn better eating habits and cooking skillsC. Improve my health (fatty liver, autoimmune, arthritis, pain from inflammation)D. I enjoy periodic cleansesE. I've never done a cleanse before and I want to give my liver a breakF. I want to learn to go Plant Based / VeganG. I have a medical condition and I need to make eating healthy and using food as medicine as an ongoing lifestyleK. Other
2. Describe your dream outcome regarding your wellness and weight loss goals.
3. Are you feeling stuck right now and if so what is your biggest frustration or challenge?
4. In the past with other programs/diets/plans you have tried what has kept you from reaching your goals?
5. On a scale of 1-10 how motivated are you about achieving your goals?
6. Are you taking any medications? Certain drugs can impeded your results and have interactions with specific foods. When was the last time you had fungicides or antibiotics?
7. My coaching programs range from $297-$2,000 USD (depending on what your wellness and weight loss needs are, especially if you have food addiction, have never done a plant based diet before or if this is your first liver cleanse). During our call, I will provide feedback on which program would get you the BEST results given your specific goals in relation to where you are currently with your relationship with food, weight, and wellness.

I'm ready to invest and get results now.I'm not sure if I am ready to commit yet.I'm just looking for information at this point.
8. Is there anything else I should know before our session together?
9. Please give me 2 options for days and times that work for you and I will do my best to work around your times. What time zone are you in?
Thank you for your responses. After I recieve your application I will get back to you schedule our call.

Looking forward to our call and getting the opportunity to assess where you are at currently. I will give you honest and direct feedback on what steps you can take and things you can implement right away to transform your relationship and results with food forever.

Cheers, Robyn
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