This set of questions will help with the selection process for the Health Coaching Program. 

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Question 1 of 8

1. What is your Name, Age and interest in the 30-Day or more, Health Coaching Program?

Question 2 of 8

2. What do you know about fasting, and what type of fasting would you be interested in doing with me?

Question 3 of 8

3. What have you done as a strategy to improve your health that didn't work, and what strategy have you tried that did work?

Question 4 of 8

4. At this time, what do you feel holds you back the most towards achieving your health goals?

Question 5 of 8

5. What is your current occupation, and what does your typical schedule look like? Do you feel like you're going to have time to dedicate to your cleanse?

Question 6 of 8

6. Are you currently taking any pharmaceuticals and/or prescription medications? If so, describe the name and function it has. Please write down any medication you've stopped taking recently (only up to 30 days from now). 

Question 7 of 8

7. Are there any allergies to foods, minerals and/or other concerns that you would like to make me aware of?

Question 8 of 8

8. What is your number for best contact? If international (out of the US) how do we contact you best (WhatsApp, IMessage, FaceTime, Instagram etc.)

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