I'm Ready To Change My Health! Lose Weight and Feel Better

Pre interview questionnaire.
** You can fill this out if you:
- Are in our 10 day Jump Start and Struggling in anyway.
- Want to Learn about the best supplements for you.
-Want to Ask a question pertaining to your health and see if our program can help.
- Want to Learn more about all the ways we can help you.


 Marcy will be reaching out to you to set up a live zoom chat. It is laid back and casual, we promise: no pressure!

*If you're interested in our Focus On Health 3.0 we want to be sure you're a candidate for the program. 
We now run the program with "rolling join access" meaning that even though we run 28 day live coaching segments, you can jump in anytime. **NO need to wait to start regaining your health! We will get you on the right track for success.

Focus On Health 3.0 Has Lifetime access to live coaching and group support. This is for the person that is sick and tired of being sick and tired, and has tried other programs to only result in failure.  
In this program I teach you how to change your life for good,  using your grocery store = real food, not packaged processed diet food. 
At the interview we will determine if this program is right for you and your health level.







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Email *
Are you  *
Phone number *For texting an appointment time only. Nobody will call you! *
Name - First and Last  *
Referred by *
Are you looking to lose weight, or just regain your health. Many join just to learn the truth about what food is doing to our bodies so they can age well and have more energy. No answer is wrong.  *
Are you currently under a Doctors care for any health issues? Please elaborate. *
How mobile are you? While you can lose weight without exercising, we also coach on moving your body and the importance of it. No answer is wrong, it will help me accommodate you with a level of exercise needed.   *
What other programs have you tried in the past?  *
List any results seen from the programs = weight loss, gained back, no results, limited results, plateau after some results. *
You are able to do a zoom meeting with Marcy?  *
Is there a specific day and time that works best for an online meeting? *
Would you prefer talking to Marcy or Tim?  *
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