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Comment:
First name
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Last name
Email address
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Phone number
City and state
Most important 3-6 month goal
Biggest challenge to achieving goals
Budget per Month
Less than 500
500-1500
It's not an issue
Referral source
Google search
Blog or guest post
Flyer or business card
Snail Mail
Word of mouth / friend
PMPLEVELID
What's your biggest goal?
Weight loss
Athletic performance
Improved health
What's your 90-day goal?
What's your biggest obstacle to weight loss?
Food
Exercise
Time
How you are using the Kindle e-book
To Lose Weight
To Improve My Relationship with Food
To Learn About Nutrition
Monthly Budget Preference
What habit are you working on the most?
What topics would you like to see covered?
What is your main goal?
Get leaner/healthier myself
Get my spouse/family to eat healthier
Budget per Month
Less than 500
500-1500
It's not an issue
I'm interested in (check all that apply):
In-home training (Two Rivers area)
In-studio training (Red Bank)
Online one-to-one coaching
Online group coaching programs and courses
What topics would you like to see covered?
Food/nutrition ideas
Exercise ideas
Weight loss goals
What is your main goal?
Get leaner/healthier myself
Get my spouse/family to eat healthier