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What's your first and last name?
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Please provide your phone number AND your preferred method of communication (text or email)
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What prompted you to reach out to me for help?
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What do you feel is your biggest obstacle or challenge with your nutrition or weight after having weight loss surgery?
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What surgical procedure did you have and when?
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What are your current goals regarding weight?
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At this time, are you willing to make a time and financial investment in yourself, your goals, and a coaching program?
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Is there anyone else involved in the decision making process that needs to be on the call?
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