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To help me understand how I can best support your gut health journey, I’d like you to please answer a few quick questions:

Name

First Name

Last Name

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How did you hear about us?

1. What specific gut health challenges are you currently experiencing?

2. How long have these symptoms affected you?

3. What methods (e.g., diet changes, medication) have you tried before, and what were the results?

4. On a scale of 1-10, how committed are you to finding a sustainable, holistic solution?

5. What are your top priorities in working with a gut health coach? (e.g., symptom relief, energy boost, improved diet)

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