EXIT Fit With Deb One-on-One Coaching Application Question Title * 1. Please enter your name, email address, and phone number. Name: Email: Phone: OK Question Title * 2. Tell me a little bit about you (you can include profession, family, health habits, etc). OK Question Title * 3. What are you currently doing well in your wellness journey? OK Question Title * 4. What do your current eating habits look like? OK Question Title * 5. What do your current exercise habits look like? OK Question Title * 6. Why are you interested in doing One-On-One Coaching now? OK Question Title * 7. If you had a magic wand and fast-forwarded 4 months, and everything was exactly like you're imagining, what would that look like? OK Question Title * 8. What is preventing you from reaching your goal(s) right now? OK Question Title * 9. What have you already tried (that worked or did not work)? OK Question Title * 10. On a scale of 1-10 (1 being low, 10 being high), how motivated are you to change how you look and feel for good? 0 10 Clear i We adjusted the number you entered based on the slider’s scale. OK DONE