CDF nutrition coaching CDF nutrition coaching Name* First Last Email* Have you worked with a nutrition coach before?*YesNoList some things you liked and didn't like within their services.List 2-3 goals you want to focus on for the next 3-6 months*What are you currently doing for exercise or activity?*What diets have you tried in the past? With or without success*What is your biggest struggle?*How committed are you to making change & reaching your goals?*Please Select123451-5 I'm unmotivated. I lack commitment - LET'S GO, CASS! Very committed.How would you rate the relationship you have with yourself? Aka SELF LOVE*Please Select123451-5 Poor - GreatTell me a little more about your answer above about self love*Are you willing to invest the time and finances necessary to take control and allow your health to flourish?*YesNoIn the meantime, is there anything else I can do to help you throughout your fitness & nutrition journey?*