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Are you ready to Lose Weight? Vien as your Coach
Drop the Kilos, Regain Energy, Ditch the pills (on your doctor's advice).
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* Indicates required question
Email
*
Your email
Full Name
*
Your answer
Age
*
Your answer
Mobile
*
Your answer
What's your sticking point?
*
Losing Weight
Gaining More Energy Day to Day
I'm taking so many Prescription Drugs
I want to Sleep better
Other:
Required
Are you trapped at home during this Sydney Lockdown?
*
Yes
No
Do you currently exercise?
*
Yes
No
Are you currently on a diet?
*
Keto
Intermittent Fasting
Weight Loss Shakes e.g. OptiFast
Protein Shakes
Paleo
Other:
Allergies
Your answer
Current Medicine
Your answer
Current Vitamins and Supplements
Your answer
Lastly, are there any areas you want Coach Vien to focus on?
Your answer
A copy of your responses will be emailed to the address you provided.
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