Empowered Wellness Warriors
Laurie DePoe
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
What are your top 3 health and fitness goals?
Lose weight
Increase metabolism
Gain/build strength
Increase energy
Better sleep
Healthier relationship with food
Reduce stress
Be consistent with exercise
Learn healthy habits
Feel confident in my own skin
What is the hardest part of eating healthy, exercise, and balance for you?
What have you tried before that hasn’t helped you reach your goals?
How can I most help you as a Coach?
Back
Next
What is your current fitness regime, if any?
Are you willing to make your health and wellness a priority while being coached by me? Are you willing to commit to checking in with me daily as your coach?
Yes to both!
No
How did you hear about this group? Please be specific.
Submit
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