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* 1. What do you want in relation to your weight and health? How much weight would you love to shift? 

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* 2. What would it mean to you to reach your dream weight?

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* 3. How motivated are you to do something about this right now?

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* 4. What challenges/barriers do you experience when trying to lose weight that stays off?

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* 5. What weight loss programmes have you tried in the past and/ or are currently doing?

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* 6. Please use this space to tell your story and why you would like to participate in a free diet trial which includes group motivational coaching support, balanced nutrition, and meal plans for weight loss that stays off?

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* 7. Would you prefer 1 on 1 weight loss, motivation and balanced nutrition support rather than in a group setting? If yes, share your reasons why.

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* 8. In relation to your wellness and life balance what are your top three challenges?

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* 9. I am looking for 20 volunteers for a 4 week FREE diet trial. This is a Patrick Holford nutritionally balanced programme to increase energy, burn fat fast and turn your skinny gene on! The results will be used as part of a nation wide study on weight loss, energy and motivational coaching support.  I have limited spaces for the diet trial and each applicant will also be offered a free place on a kick start workshop. All applicants will be contacted by email and phone as part of the application process and offers of places. Please provide your contact details.

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* 10. When is the best time to contact you?

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