Coach Donna's Health Starting Point ~
Just wait.... a few weeks with me, yes, just weeks and this will all change..
Tell me your full name :)
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First Name
Last Name
Email
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example@example.com
Date
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Month
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Day
Year
2 digit month, 2 digit day, 4 digit year
Today's Date
Phone Number
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Format: (000) 000-0000.
Right now, how much do you weigh and how tall are you? If you are like I was and haven't gotten on the scale, how much do you think you weigh?
Right now, how would you describe your overall health? Physical,mental, energy, self confidence...
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0/330
Why do you want to lose weight? What do you think will be different in your life when you get to a healthy weight (which you can)
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0/330
What would your dream health/weight goals look like?
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0/330
What would you change about your life right now to make it better? I get some deep responses here and I want you to know this is totally confidential. I had given up on my health and my weight because of thyroid disease, and there seemed to be no hope for me, add the stress of a special needs son and enter comforting myself with food, so whatever is your story, I get it. Share away...
Are you....
Pregnant
Nursing
Pre Menopause
Post Menopause
Type 1 Diabetic
Type 2 Diabetic
Taking medication for Thyroid Disease
Dealing with Hashimoto's Thyroid
Taking medication for High Blood Pressure
Taking medicaton for Heart Disease
Prone to Gout
Have you utilized in the past, or are your currently utiliziing, one of the following medically supported weight loss tools?
Bariatric Surgery
GLP1 Shots
Pills
In regards to highly addictive foods such as sugar/carbs, fried foods and processed foods, do you consider yourself:
Highly Sensitive
Moderately Sensitive
Low Sensitivity
How would you rate the quality of your sleep?
How many meals do you currently eat per day?
Do you exercise?
How many pounds away are you from feeling confident?
How many other weight loss programs have you tried? Goodness knows I tried the flavor of the month about 30 times in my life!
What would you say is the biggest struggle you have right now in reaching your healthy weight?
On a scale of 1-10, how committed are you to YOU and getting to your health goals?
This program is simple, sustainable, and effective. YOU are the only variable in your success-- and you are not alone in this. YOU are in control of this. How does that make you feel? Excited? It's exciting! Scared? Good! I was too. BUT, my self esteem was shot because of all the things I could NOT control. I decided to be excited that I could control one part of my life. How do you feel now? I am so excited to work with you!
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