Thank you so much for your interest in working with me! I'll be taking on new health coaching clients in early 2017, and in order to get a better sense of what you're looking for, I'd love to learn more about you. Please answer the questions below and leave your email address if you'd like me to follow up with you.

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* 1. What age range do you fall into?

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* 2. What are some of your current health concerns or areas you'd like coaching on?

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* 3. What types of coaching would you be interested in?

  Not at all interested Not sure Somewhat interested Very interested Not Applicable
1 on 1 coaching via Skype/FaceTime and email
1 on 1 coaching via email only
In-person 1 on 1 coaching (Vancouver area only)
In-person small group coaching (Vancouver area only)
Online small group coaching with live sessions via Google Hangouts + email support
Email-based programs such as 30-day challenges 

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* 4. If you have any additional comments or questions, please enter them here.

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* 5. If you'd like me to follow up with you, please enter your name and the best email address to reach you at in the boxes below.

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