Wufoo
Weight-Loss Strategy Session Call with Kelly
Congratulations on setting up a call with me. Just fill out the form and I will personally get it. Look forward to helping you on the call!
What is your biggest obstacle to losing weight and creating vibrant health?
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What results would you like to achieve relating to weight loss/overall health?
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What have you previously tried to lose weight that hasn't worked? (No wrong answer here--just need to know in order to help you in the best possible way.)
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What is your current employment status?
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Employed Full-Time
Employed Part-Time
Self-employed
Not employed, but looking for work
Not employed and not looking for work
Homemaker
Retired
Student
Prefer Not to Answer
Name
First
Last
Phone Number
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Email
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Country
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Facebook Profile (I would love to "FB Friend request" you if you want. Please give me your exact FB profile so I make sure to friend request the right person!)
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