12 Week Program Waitlist Survey
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Question 1 of 7
What is your first name?
Question 2 of 7
What is your email address?
Question 3 of 7
What are your biggest struggles with your health or weight?
Question 4 of 7
On a scale of 1-10 how important is it for you to find a solution to this problem now? (1 being not at all important, 10 being very important)
Question 5 of 7
Are you in Perimenopause, Menopause or Post Menopausal?
Yes
No
Question 6 of 7
If I could solve ONE thing for you right now, what would it be?
Question 7 of 7
What are the main questions you have that I might be able to answer for you?