First Name
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Last Name
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What is your primary motivation for seeking professional nutrition guidance?
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On a scale of 1–10, how much does your current nutrition impact your daily energy or training? 1 = minimal impact; 5 = moderate impact; 10 = maximal impact.
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What is the single biggest "roadblock" preventing you from reaching your goals?
If you solved your nutrition challenges today, what is the first goal you would achieve?
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What nutritional interventions have you tried in the past that have not worked for you?
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