Full Name
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Email
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Briefly describe how you heard about Alene’s Coaching Program and why you would like a consultation.
What are 3 specific goals you would like to achieve in this program?
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What is your health currently preventing you from doing in your life?
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If you had better health and energy, what would you be able to do more of in life?
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What dietary approaches have you tried that DID work for you? Please list.
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What dietary approaches have you tried that did NOT work for you? Please list.
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Why do you feel Alene is the best fit to be your nutrition coach?
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On a scale of 1 to 10, how committed are you to making the necessary changes to achieve your health goals?
What prompted or motivates you to make health changes now? Why now?
If you achieved better health, what would it allow you to do more of in life?
What is one goal - outside of health - that you want to accomplish in life?
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