This set of questions will help with the selection process for the Health Coaching Program.
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Question 1 of 7
1. What is your Name, Age and interest in the 30-Day or more, Health Coaching Program?
Question 2 of 7
2. What do you know about fasting, and what type of fasting would you be interested in doing with me?
Question 3 of 7
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 7
4. At this time, what do you feel holds you back the most towards achieving your health goals?
Question 5 of 7
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 7
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 7
7. Are there any allergies to foods, minerals and/or other concerns that you would like to make me aware of?