Metabolic Discovery Call Application
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Name *
Date *
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What is the main reason you came to my site today?

Are you currently experiencing any of the 3 stages of menopause: Peri-Menopause, Menopause, or Post-Menopause?


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If yes, are you on HRT or taking any other medication for it?

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Is your job more: *
Are you currently following a specific nutrition plan (ie. Weight Watchers, Keto, Intermittent Fasting, etc) ? *
If yes, which one and are you happy with your results?
Do you have any injuries that would prevent you from participating in a physical fitness plan? *
If yes, please list:
Have you been diagnosed with any other health issue (Diabetes, Thyroid, IBS, etc...)? *
If yes, please list here:
What are the TOP 3 most pressing health and wellness CHALLENGES you need help with the most? *
Are you willing to follow the nutrition, fitness, and lifestyle recommendations of a coach to overcome those challenges (including daily physical activity, food journaling, and consuming mostly home-cooked meals)? *

Are you married or live with a significant other? 

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If yes, will they be supportive of you working with a coach to reach your health and fitness goals?

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Have you invested in your health and fitness in the past?

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If yes, what did you like most about the experience?

What are you willing to invest in to a personalized coaching program to achieve your health and wellness goals?

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