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CLIENT INTAKE FORM

Before our first session, I would like to get to know more about you, your goals and your lifestyle before we have our consultation session. These questions are meant to help me understand why you would like me as your coach, and what I can do to assist you in reaching your health goals as it relates to living a fasting focused lifestyle. 

All your answers will only be read by myself and will remain confidential. I request you share as much as you can so that I can put together a tailored plan unique to you. 

Tell me about yourself...
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