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1
Name
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First Name
Last Name
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2
Email
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example@example.com
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3
Phone Number
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Area Code
Phone Number
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4
What is your current weight?
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5
What is your goal weight?
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6
Have you worked with a coach before?
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7
Have you ever tried a keto/low carb diet?
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8
Are you willing to invest in yourself (financial and time) to achieve your goals?
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9
Please provide any additional information you think I should know before the call.
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