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Nutritional Coaching Client Questionnaire

The questionnaire below contains some personal questions.  I ask these questions so I can really get a feel for who you are and what makes you tick. Please answer the following questions as honestly as possible. One of the most important aspects of the process you are about to begin is and open and honest relationship.  In order to best serve you I need to know as much about you as possible. Feel free to write a novel in the notes section at the end of this questionnaire.  

    Basic Information

    Goals

    Current Fitness Activity

    Medical and Health Information

    Lifestyle Information

    Diet and Nutrition Information

    Is there any other information that you feel I should know about your health, your eating habits, your exercise habits, food sensitivites, etc.?
Submit

About Us

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Dan and Laura Suedbeck have embraced an entrepreneurial lifestyle.  They are constantly challenging the status quo and challenge others to do so too.  They believe that you don't always have to change your situation, sometimes you just need to change the lens you view the world through.  Their focus is helping people  find purpose and passion with their lives all while getting healthy.   Click here to find out more about them.  

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