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Deep Reset Application!
Hi there, I'm looking forward to learning more about you! Please answer a few short questions to complete your application.
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1
Name
First Name
Last Name
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2
Email
example@example.com
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3
In a perfect world, what does optimal health and wellness look like for you?
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4
What symptoms are you experiencing?
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5
If you had to list out the top 3 things you want to accomplish together, what would they be?
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6
Are you in a place to do a health and wellness rebuilding program?
When I work with clients we largely focus on diet, lifestyle, and stress management. If you aren't ready to potentially make changes in these areas, this may not be a good fit for you.
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7
Are you excited about the opportunity to improve your life, your happiness, and your overall well being?
It's ok and normal to feel apprehensive or unsure! But I want to make sure this is something that you actually want to do! This is an exciting and positive step!
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