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Determined to do whatever it takes to strip those pounds for good?

Prequalification Questionnaire for Free One-on-One Coaching

I'm currently offering 10 FREE one-on-one coaching sessions to support those subscribers who are at the point where they say, "I'm done with all that dieting and trial and error. Enough is enough. Now I'm ready to do whatever it takes!" 

Please only fill out this questionnaire, if you're seriously interested in such a free one-on-one session with me and willing to leave your email address at the end so that I can send you an invitation for the coaching call; otherwise, I can't reach you. 

I'm looking forward to helping you get on the next weight loss level,

Angela B. 
1.How much weight do you want to lose within the next 12 months (in pounds or kilos)?
2.What of the following topics is the biggest contributor of your weight issue?
3.How much are you willing to invest in your health and healthy weight loss (please add your currency)?
4.When would you like to start your healthy, natural and sustainable weight loss process?
5.Do you understand that it took your body years to accumulate extra fat and that real, lasting weight loss takes time? 
6.Which is the best email address I can send you my invitation for a free one-on-one coaching call? 

(Please be aware that if you don't answer that question, I can't send you an invitation and filling out that questionnaire makes no sense for you).