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TWMemberApplication
Akik Ramin
2017-05-06T05:57:23-06:00
What kind of struggles are you having (please check all that apply)
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Emotional eating
Overeating
Negative self-talk
Can't stand dieting any longer
How long have you been struggling?
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6 months or less
6 months to 1 year
1 year to 2 years
2-5 years
5 years or more
What do you feel is the cause of your weight gain?
What is your biggest frustration with your body/weight?
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What do you want your life to look like after your weight struggles are gone?
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How important is ending you’re your struggles with weight and food?
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Mandatory, I can barely handle it
I can live with it if I have to
Its not that important to me, its more of a nuisance
How committed are you to ending your weight struggles?
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Extremely committed, I will take a lot of action
Quite committed, I will take some action
Semi committed, I will do a bit of action
Not very committed, I won't take much action
What if I told you, you could work with me and my team to learn how to become naturally thin and feel great in your body. Would you jump at this opportunity if it meant investing time, energy and money?
Yes! That sounds fantastic! I’m ready to talk about what I’m struggling with and schedule a Body Breakthrough session.
I’m not really sure what I would think if you told me that. I just know I’m struggling and I would like to schedule a Body Breakthrough session to help give me more clarity and direction.
I’m not sure if I could afford to invest anything, but maybe?
No, I’m not in a financial position to invest emotionally and financially in anything, but maybe at another time.
Name
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First Name
Last Name
Email
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Phone Number you want me to call you on if you are inside the US or Skype address you would like me to reach you if you are outside the US?
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Name
This field is for validation purposes and should be left unchanged.
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