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name
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email
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phone
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What is your biggest struggle right now?
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I feel tired and low on energy most of the day
I am gaining weight, especially around my belly
I don’t have time for exercise or self-care
I struggle with emotional or stress eating
How do you currently feel about your body and health?
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I feel stuck and don’t know what’s working anymore
I feel uncomfortable in my clothes
I feel guilty for not taking care of myself
I feel frustrated with repeated weight gain
What has stopped you from achieving your weight loss goals?
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Lack of consistency and routine
Confusing diet advice and no clear plan
Hormonal issues like PCOS, thyroid, or stress
No accountability or support system
What would you most like to achieve in the next 12 weeks?
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Lose 6–10 kg in a healthy and sustainable way
Feel energetic and active throughout the day
Build a consistent routine with diet and exercise
Feel confident and comfortable in my body again
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