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Welcome to the Wellness Foundations, LLC Team!

Welcome to the Wellness Foundations, LLC Team!

We are excited to have you join our Lifestyle & Nutrition Coaching Program, and can't wait to get you started! Please be sure to fill out and submit this form at your earliest convenience, so we can review your past and current history in order to develop the best plan for you. We will discuss your submission during your scheduled call, as well as any questions you may have!
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    Number & Street, City, State and Zip Code
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    So we know where to reach you about scheduling!
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    Pick a Date
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    i.e., Word of mouth, Facebook, Instagram, Tiktok, Workshop/Speaking Event
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    If you've worked with a trainer/coach previously, please describe as well
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    Please share any current training/class routine you have at the present time, if any
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    • Athlete
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    Please explain what app(s) you've used, and what you've used to weight/measure foods if at all
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    • Advanced
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    Food tracking app(s), how you weigh/measure food
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    N/A if not tracking
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    Number of meals, timing, types of foods at these meals
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    Provide your best estimate, and any other liquids you consume (coffee, teas, juices; alcohol can be omitted on this one!); N/A if not tracking
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    Provide your best estimate; i.e., 1 per week, or 2 drinks per month- PLEASE BE HONEST!
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    N/A if none
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    N/A if none
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    Please explain how or if these limit your ability to perform any types of exercises; N/A if none
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    Diabetes (and type), cancer, Hypo/Hyperthyroidism, Hashimoto's, PCOS, etc.; N/A if none
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    *if you've already stated some of this info to a previous question, feel free to omit that particular info
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    • Yes
    • No
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