I have many valued partnerships with other small businesses. How did you find me? *
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I like to send my referrers a thank you. Please the list name of individual if possible.
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Which services are you seeking? Select all that apply. *
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What is the reason you are reaching out for nutrition or fitness help? Be detailed and tell me your story! Include as much health history as you feel comfortable. *
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How long have you been suffering from the above conditions or symptoms? *
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What have you tried in the past that worked well? *
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What have you tried that has NOT worked well? *
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What do you hope to accomplish by working with a dietitian or personal trainer? *
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Do you prefer video sessions, in person sessions, or do you prefer a more self led program with email and app communications? *
Do you have health insurance or would you be cash pay? *
If you answered health insurance, which company do you have for insurance?
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I have packages ranging from $97-$597 a month and require a 3-6 month commitment. Is this in your budget should insurance not cover services? *
Do you have any questions for me? I will be sending you an email with information to schedule your complementary consult so be sure to check your email!
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