REQUEST - Discovery Session
Please fill out this short questionnaire. Once you submit it, you will hear from me via email.

!!Make sure to check your inbox and SPAM folder within the next 48 hours!!

I look forward to talking with you soon,

~ Stella Loichot
Certified Health & Lifestyle Coach, Specializing in Diabetes Prevention and Weight Management
Allon-Z Coaching, LLC - allonzcoaching.com

PS: Except as required by law, all information you share with me will be held confidential unless you state otherwise in writing. For medical advice, diagnosis, and treatment, I encourage you to contact your physician. I am not providing such services.

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First Name *
How did you hear about me?
In 2-3 sentences, please describe the problem or struggle you are experiencing. Be as specific as possible.
In 2-3 sentences, please describe your ideal outcome/goal in the next 6 months.
What programs or systems have you tried in the past to get the results you desire?
In 2-3 sentences please tell me why you believe you haven’t been successful in reaching your goals in the past.
What do you think would make your journey easier?
What are you hoping to get from a consultation with me?
On a scale from 1 to 10, how committed are you to work toward your goals?
I think I want to try...
It's almost a question of life and death!
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