First Name
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Last Name
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Email
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Mobile Phone
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Height
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Current Weight
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Goal Weight
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Which of these best describes your situation?
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Struggling with weight gain despite my best efforts
Experiencing joint pain or physical limitations that hinder activity
Feeling less attractive or confident in my own skin
Battling fatigue that affects my daily life
Worried about health issues and not aging gracefully
Which of the following have you tried?
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Diet
Exercise
HCG
Phentermine
Weight Watchers
Jenny Craig
Keto
Intermittent Fasting
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When we work together, we will be expecting you to lose 15-20% of your body weight in 90-120 days, Is that you?
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Yes, Im ready to lose weight now
No, Im not ready to lose weight
Our consultations are completely free. But if you want to make real change in your health, it requires an investment in your health. Which one of the following best describes you:?
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I have the funds and resources to invest in my health
I lack immediate funds, but my credit history allows me to secure financing
I do not have access to resources for investing in my health
Yes, I Want To Lose Weight!