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Please use this form to register your interest in the Mixed Format – Hybrid Package.
First name
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Last name
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Email
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Phone
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Age
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Gender
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How active you are in your daily life on a scale 1-10?
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Do you use wearable technology such as fitness trackers or smartwatches to track your health metrics? If yes, which one?
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What are your main expectations from our counselling sessions?
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How would you rate yourself in the nutrition field?
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Are there any specific nutrition trends you are particularly interested in?
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How would you describe your current lifestyle in terms of diet?
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How would you describe your current lifestyle in terms of exercise?
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How would you describe the current quality of your sleep?
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How would you describe your stress level?
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How motivated are you to take actions and improve your lifestyle on a scale of 1 to 10?
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Are there any specific health concerns or areas you would like to address in our sessions? Please specify if any
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By submitting this form, I confirm that I have read and understood the
Cancellation Policy
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