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What's your full name?
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What's your email address?
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What's your phone number?
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How did you hear about our metabolic health coaching services and natural weight loss packages?
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What specific aspects of your health or wellness are you hoping to address through our services or products?
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Have you ever worked with a health coach or purchased a weight loss package before?
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If yes, please briefly describe your experience.
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Which of the following best describes your current situation?
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I am interested in learning more about your metabolic health coaching services.
I am interested in purchasing a natural weight loss package.
I am unsure and would like more information to help me decide.
What are your primary goals or objectives for seeking metabolic health coaching or weight loss support?
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On a scale of 1 to 10, how motivated are you to make positive changes to improve your metabolic health or achieve your weight loss goals?
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9
10
Being extremely motivated
Are you currently working with any other healthcare professionals or specialists for your health or wellness needs?
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If yes, please specify.
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Do you have any specific preferences or requirements for your coaching sessions or weight loss program? (e.g., frequency of sessions, preferred communication method, dietary preferences, etc.)
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