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1:1 or Group Coaching with Steph Wagner MS RDN LDN
I'm so glad you're here! I'd love to learn more about you, your goals and why you are interested in coaching. Please read each question carefully and complete the application below with as much detail as possible! This is not medical nutrition therapy and not billed to insurance. HSA/FSA cards are accepted.
We'll start with a 30-minute discovery call to see if we're a good fit!
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First Name
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Your answer
Last Name
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Your answer
Age (You must be 18 years or older)
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Your answer
Phone Number
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Your answer
Email address
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Your answer
How did you hear about me?
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Your answer
Bariatric surgery date and procedure
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Your answer
Did you see a dietitian before or after surgery?
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Your answer
What is the main reason you are reaching out to work with me?
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Your answer
Are you a current member of Premier Access with Bariatricfoodcoach.com?
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Yes
No
Sessions are typically daytime on Wednesdays. If that time is possible, are you okay with group coaching for a lower fee or do you prefer 1:1?
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First visits are always 1:1)
At this time there is not minimum or maximum number of sessions. We can assess your goals in our first meeting.
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1:1 only
Group is okay with me
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