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Apply for one to one coaching

I take a small number of clients, so this is an application rather than a checkout. I read every one myself. There are a few paragraphs to write, and the more honest they are the more useful my answer will be.

Current employment status (optional)
On a scale of 1 to 10, where do you fall?
1, I am content with my current body and health 10, I need to make a change now
Are you ready to take action right away?If you are not ready, please wait and apply when you are.
Are you able to invest in getting the help you need to get there?