* 1. What is your gender?

* 2. What is your age?

* 3. What are your health goals?

* 4. Are you currently on the keto diet?

* 5. How often do you exercise?

* 6. What is your biggest health challenge?

* 7. How can I support you?

* 8. If you would like to jump on a special Facebook Live, enter your email below and I will send you the details.

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