Click the button below to start.
Question 1 of 14
1.) What are your 3 main nutrition, exercise, and diabetes goals?
Question 2 of 14
2.) Tell me about the obstacles preventing you from achieving these goals.
Question 3 of 14
3.) Tell me about your exercise history, including any injuries that would limit your ability to exercise.
Question 4 of 14
4.) Tell me about your diabetes situation. Are you on a pump or injections? Do you have a CGM? What is your most recent A1c? Are you on other medications for your blood sugar?
Question 5 of 14
5.) Are you open to tracking your nutrition?
Question 6 of 14
6.) Why do you want to work with me?
Question 7 of 14
7.) Are you emotionally and financially ready to tackle your goals and make a premium investment into yourself?
Question 8 of 14
8.) Nutrition coaching is both a financial and time commitment. Is there anyone else involved in the financial decision-making process? If so, who is it, and would they like to be involved in the call?
Question 9 of 14
9.) In an absolutely perfect world, if we find this is a good fit, when would you like to start the program?
As soon as possible
Within this next month
More than a month from now
Question 10 of 14
10.) Are you willing to make a decision that will best benefit your health goals while on this call?
No, I’m not ready to change yet
Question 11 of 14
11.) Please provide your name, phone number, Instagram username, and email.
Question 12 of 14
12.) What state are you from?
Question 13 of 14
13.) What insurance provider do you have?
Question 14 of 14
14.) How did you hear about us?