Name: *

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What is your Instagram username?: *

What is your main goal right now?: *

What do you do for work?: *

What drew you to me as a coach?: *

How long have you been trying to reach your goal?: *

What is your biggest struggle with achieving that?: *

What has and hasn't worked for you in the past?: *

Rate your finances on a scale 1-10... 1 being things are really tight right now and you are struggling to put food on the table... and 10 being you can buy anything you want: *

Are you the primary decision maker in the household? If we jump on the call I want to make sure your significant other is aware and supportive of you and your goals moving forward. If they need to be on the call with us to make the decision, then by all means we can keep them involved!: *

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