VIP coaching application Name * First Name Last Name Why have you made a decision to get healthier and reach out to me for help? * Was there something that prompted you to reach out for help like a milestone or event coming up? * What is preventing you from reaching your goals right now? Travel Time Budget Confusion about what to eat/do Nothing - I'm Ready To Go! The value of my coaching program requires a personal and financial investment in yourself, are you willing to do this to get to your goals? * Yes No What is your email? * So we can hook you up with some free resources after our strategy session. Is there anyone else in the decision making process who needs to be present during our call? * Yes No What is your phone number? * Please confirm your phone number. It's really important this is correct so that we can confirm your application + help you book your free strategy session. (###) ### #### How did you find out about KMD Nutrition? * Friend? Referral Source? Social Media? Let us know so we can thank them! While you may lose some weight as a result of following my recommendations, this program does not guarantee weight loss nor is it the primary focus. My goal is to help you get to your happy weight/set point weight (a weight your body can maintain with very little effort; with a lifestyle that includes carbs & happy hour and very little restriction/sacrifice!) * Please confirm your understanding by typing your name below Thank you for submitting your application! Please schedule your free discovery call.
