LETS GET STARTED!
Welcome, I am so glad you are ready to improve your life. It takes bravery to start, and here you are. It may feel a little scary, but I am here for you every step of the way. Let's get started.
Before/After
Full Name
*
First Name
Last Name
E-mail
example@example.com
Phone Number
*
What is your current weight? (Do not worry this information is completely confidential.)
Right now, how would you describe your overall health? Physical, mental, energy, self-confidence? Don't hold back, we will improve this very soon!
Why do you want to lose weight? How will this make your life different?
What would your dream weight goals look like?
What would you change about your life now to make it better?
Are you being treated for any of the following?
Type 1 diabetes
Type 2 diabetes
Thyroid
High Blood Pressure
High Cholesterol
Heart Complications
Other
Are you any of the following
Pregnant
Nursing
Pre-menopause
Post-menopause
Rate quality of sleep (1-10)
How many meals do you currently eat per day?
Do you exercise?
How many pounds are you from feeling confident?
How many other weight loss plans have you tried? Geez, for me seems like them all!
Are you ready? Tell me about it. Let's go!
I am completely 100% confident that this plan will work for you. The plan works 100% of the time for those who work it completely. DO NOT TAKE SHORTCUTS! Believe in you one more time!
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