Worksheet

Kitchen Retreat Coaching Package Application

This form is to help me get to know you better, so that we can make the most of our time together!

1.

First Name

2.

Last Name

3.

E-mail Address

4.

Phone Number

5.

What is your occupation?

6.

Tell me a litte bit about your struggle with weight loss.

7.

What have you attempted in the past that didn't work? Why do you think it didn't work?

8.

Have you ever had success with weight loss? If yes, what worked for you in the past?

9.

What is your biggest question when it comes to weight loss?

10.

What attracts you most to getting a royal hand hold experience?

11.

Which package are you interested in?

12.

Where do you want to have your retreat experience?

13.

Anything else you would like me to know?

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