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Please fill out the application form here, and upon submission you'll be re-directed to my Calendly page to book a suitable time for your consultation. I look forward to chatting to you!
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First name
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Last Name
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Age
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Email
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Country
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What does a typical day in your life look like? Tell us a bit about yourself, your lifestyle and physical activity.
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What is the number one biggest change you wish to experience in the next 12 weeks?
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Why is this important for you?
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What would it mean to you to feel healthy and energized? How would your life be different?
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What has stopped you from achieving this in the past?
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The 1-1 coaching packages start at $295 - $900 USD [pay in full or in installments]. Is this investment within budget?
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How did you hear about Energized Muslimah?
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On a scale of 1 to 10 (10 being "Yes, let's do this!"), how committed are you achieving your fitness goals?
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