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FAITH-BASED NUTRITION JUMPSTART
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First and last name
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2
What is your #1 health goal right now?
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Weight loss transformation
Gain muscle
Overall health
Improve my relationship with food
Connect my faith to my nutrition
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3
What is your motivation? WHY do you want to dial in your nutrition?
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4
How is not being at your ideal health affecting your life today and 10 years from now?
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5
Be honest, what do you feel is holding you back from being able to reach your desired health goals? (This helps me better understand your situation)
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6
Anything else I should know as your nutrition coach?
I will be getting your age, height, weight, medical background, food preferences, etc. in the next form! So no need to type out everything here, just anything important you think I should know :)
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7
Email
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example@example.com
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8
What is your instagram handle? (Ex: @aj_moves__) If no Instagram type "N/A"
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9
Phone Number
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You'll get coaching texts from a 689 number, that is us :)
Area Code
Phone Number
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10
How can I pray for you as you take your first steps and start your journey breaking chains with negative health habits?
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11
My Subscriptions
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FAITH BASED NUTRITION JUMPSTART
Receive monthly nutrition coaching, macro calculations, ongoing adjustments, custom meal plan, grocery list, weekly check ins, and faith-based support and education surrounding nutrition and temple stewardship.
$
100.00
for each
month
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