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Hi Beautiful,
Please fill out these next questions honestly so I can see if you are a good fit for my LEAN Gut Mind Method coaching services. If you are I'll be in touch soon to book a discovery call with you!
14
Questions
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1
Name
First Name
Last Name
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2
Are you over 22 years old
Yes
No
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3
Age
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4
Email
Please ensure this is accurate or I cannot contact you
example@example.com
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5
Phone Number
So we can call you to see if you are a good fit for the program.
Country Code
Phone Number
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6
Where do you currently live? (Country and City)
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7
Describe your health journey up until now including things you've tried (please let me know if you have a diagnosed eating disorder or history of one).
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8
What is your main complaint when it comes to your health?
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9
What gut problems do you suffer from?
Constipation
Diarrhoea
Bloating
Wind/ Gas
Abdominal Pain
Nausea
Vomiting
Reflux
Irritable Bowel Syndrome (IBS)
Unknown Food Intolerances
I don't have any gut issues
Other Types of Gut Issues
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10
What are 3 goals you NEED to accomplish to improve your health?
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11
Be honest, what is stopping you from accomplishing these goals right now? (The more specific you are the faster I can decide if you are a good fit for Lean Gut Mind Method)
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12
How ready and committed are you to start working on your goals/health right now? Choose a number from 1-10
[1 = No commitment, I'm too busy right now] [10 = I am 100% committed and NEED to change my life!]
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13
Do you have the resources, finances and time to invest in YOUR health now?
ABSOLUTELY
NOT REALLY
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14
Can you afford to invest at least $1,000 each month on your health (knowing that LEAN Gut Mind Method is a 3 month program).
ABSOLUTELY
NO
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15
Funnel Status
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