Please fill out this form so that I can get to know your current health situation. Name * First Name Last Name Email Current health status * Arer you on any prescribed drugs? If so, which? * Did your doctor give you a diagnosis? If so, which? * What is your relationship with food? * Are you on a diet? If so, which one? * As your coach, what do you want from me? * What are you willing to do to help yourself? * How do you see yourself in the future? * How happy are you? What do you do for fun? * Other information Thank you!
