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Complete the questionnaire below for a free phone consultation session. During the session, we will talk about your health goals, go over my coaching approach, explore what our working together could look like, and discuss pricing.

By completing the form below, I agree to allow Eat Well Eat Real to use and store my information for the purposes of booking an initial consultation for 1:1 health coaching services. The information that you share on this questionnaire is secure and will not be shared.


Please complete the form below


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On a range of 1-5 with 5 being very committed, how committed are you to making healthy lifestyle changes, and why? *
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