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SIX WEEK'S TIL SUMMER Lifestyle Reboot
Fill out the following form & receive a coupon for $5 off a box of food or $5 off the 6 Week Lifestyle Reboot Program
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First Name
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Your answer
Last Name
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Your answer
Email
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Your answer
Phone number
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Your answer
The following topics are of interest to me (select all that apply):
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Self Care
Muscle Building
Yoga or Stretching
Low Carb Nutrition
Fasting
Hydration
Scheduling
Purpose & Self Belief
Community & Connection
Goal Setting & Goal Achieving
Weight Loss
Meditation
Required
Virtual or In Person
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I prefer in person meetings / events
Virtual Meetings / events would be best for me
I would like the option for Virtual AND In Person meetings depending on the week
I am interested in a group format
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I like meeting independently
I like the opportunity to work in a group or workshop
I see value in both working independently and in a workshop setting
I'm interested in learning more about the 6 Week Lifestyle Reboot
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No thank you
Yes, I'd like to be on the wait list
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Do you have any additional comments, suggestions or questions?
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