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Free Weight Loss & Diet Consultation

Name *

First

Last

Email *

Mobile Number *

Gender *MaleFemale Prefer Not to Say

How much weight would you like to lose? *Less than 1 stone Between 1 & 3 stone 3 stone or more

Describe current your relationship with food: *Tried every diet in the book and fed up of not losing weightI know roughly what I need to do, but want some support and accountabilityI'm a yo-yo dieter constantly up and downI'm more of a sweet treat person and find it hard to give up sugarI'm more of a savoury person I eat way too much processed foodWould prefer to discuss this in person

What's your diet like at the moment? *

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