Client Health Questionnaire

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1. How long have you been struggling with your weight?
TIME Investment (select one):
FINANCIAL Investment (select one):
ENERGY Investment & MOTIVATION (select one):
11. Imagine this - You are able to finally achieve and maintain your ideal weight, get your energy and vitality back, free yourself from the potential diseases, medical bills and suffering of being overweight, and be empowered to step up in life and shine your light to the world. How would your life change? What is this Life Transformation worth to you? (select one)