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Apply for your Free Weight Loss Breakthrough Call
FOR A COMPLIMENTARY WEIGHTLOSS WITHOUT WILLPOWER Breakthrough Session with Dr. Laurette Willis or any of our highly skilled Weightloss Without Willpower Coaches, please fill out the form below so we can know you better.
After you fill out the form, the page will open to the Scheduler where you can select TWO time options for your appointment.
Name
*
First
Last
Email
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Phone Number
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Where do you live? Don't worry, we can call you wherever you live. :-) If you are outside of the United States, we will call you via WhatsApp (a FREE app on your phone which is available in your App Store)
Are you ready to lose weight and keep it off?
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YES
NO
We typically coach women who are 40 to 75 years young and are at a point in their lives where they are able to invest (mentally, emotionally and financially) in solving their weight loss challenges for good. Does this describe you?
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YES
NO
Where are you currently in your weight loss journey? Please describe.
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Describe your history with weight loss.
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How much excess weight do you want to let go of for good?
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Less than 10 lbs.
10-20 lbs.
20-40 lbs.
50-75 lbs.
75-100 lbs.
Over 100 lbs.
On a scale of 1-10, with 10 being extremely important, how important is losing weight to you right now? WHY?
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Why do you feel you haven't lost the excess weight for good yet?
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Do you believe healthy weight loss is possible for you?
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Yes!
No
I hope so
When will you be ready to start?
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Right Away!
Within the next 2 weeks.
Not sure.
Are you at a place in your life where you can prioritize your health?
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Yes
No
Maybe
If selected - what are the reasons you’re committed to doing the work it will take to lose the weight once and for all?
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Are there any issues whether physical, emotional, or circumstantial that would interfere with the likelihood of your success in our coaching program?
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What is your primary reason for applying for a call with a Christian Weight Loss Coach?
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I just want to pick her brain. I don't need any help.
I'm really tired of struggling on my own to lose weight and want to find the right weight loss coach to help me lose the excess weight for good.
Other reason (if your primary reason for applying for the call is not listed above):
If selected, we will call you via telephone at your scheduled time. Please commit to your appointment by answering the following:
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Yes! I promise I'll answer the phone for my Weightloss Without Willpower breakthrough session.
No. I can't promise I'll answer when you call me for my Weightloss Without Willpower breakthrough session.
Well, I'll TRY to be there when you call. Maybe, if my dog doesn't have the sniffles.
Finally, on a scale of 1 to 10, how ready are you for a positive BREAKTHROUGH with your weight & health?
After you click SUBMIT, the page will open to the Scheduler where you can select TWO time options for your appointment.
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