New Client Application
First name
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Last name
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Email
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Confirm email
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How did you hear about Fitbuttphat Coaching? (referral, IG, Facebook, etc)
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What are the goals you are looking to achieve while working with me?
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Have you worked with another coach or have done a nutrition program in the past?
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By checking this box, I confirm I am not suffering from an eating disorder.
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It is out of my scope of practice but I would love to refer you to someone in which you can seek help. If you have questions or need resources reach out to me directly at courtneykopp27@gmail.com
What type of coaching service are you interested in?
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Macro Tracking/ Flexible Dieting (3mo Minimum)
Habit-Based/ Lifestyle Nutrition Coaching (3mo Minimum)
Personal Training
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