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Lifted Culture Fitness 1:1 Health Coaching
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Where do you want to be in 3 months?
Have you taken any action, at all, to reach your goals?
On a scale of 1-5, how important is it for you to overcome your obstacles and current mindset to achieve your goals?
1
2
3
4
5
If we were to work together, what would be the ideal outcome or resolution for you?
What is your annual income?
Have you ever worked with a coach before?
I operate only from a HECK YES in my life, and everything ELSE is a NO. If we should get on a call and it’s a HECK YES to work together, are you willing to make the investment in yourself to hire a coach?
If we are to hop on a 10-minute phone call, will you be fully present and committed to our scheduled time?
Yes
No
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