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* 1. Name

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* 2. Do you have concerns about your current weight?

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* 3. Do you have concerns about the quality of food you are eating?

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* 4. Do you stress eat or eat poorly due to emotional triggers?

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* 5. Do you understand and follow the 80/20 Rule? (80% intake from minimally processed foods, 20% intake from highly processed foods)

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* 6. Do you plan and prep your meals ahead of time?

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* 7. Do your current habits support a healthy nutritional lifestyle?

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* 8. Name your top 3 concerns in regards to your nutrition lifestyle.

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* 9. Do you think you need support to overcome your obstacles and achieve the healthy lifestyle you want?

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* 10. Please provide your email for Follow Up

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