Coaching - Setareh Khatibi

What can I call ya?*

Are you a Sweet Potato (Lady) or a Spud (Stud)?*

Age*

Weight*

Height*

Your eMail*

Your Skype ID

Your Digits?*

State/Province/Region*

Country*

How did you find out about me?*

What do you want to improve on the Potato Diet?*

What do you seek most from my guidance?*

Motivation
Healing
Weight loss Plan
Education
Good Vibes 😀

Are you currently under a doctor’s care?*

Do you have:*

High blood pressure
High cholesterol
Diabetes
Heart disease
Other condition
No medical conditions

Do you take any medication?*

If so, please explain*

Are you pregnant?*

Do you smoke?*

Do you drink alcohol*

How many cups of water do you drink daily?*

What diet are you currently on?*

Your stress level on a scale from 1-10 (10 being the highest stress)*

Do you exercise?*

What kind of exercise?*

Running
Biking
Swimming
Weight training
Yoga
Dance
Other

How many days per week do you exercise?*

Are you ready to invest in working together one-on-one?*

My coaching program is an investment to your health. Private coaching is for you if you are seeking personalized support to ensure your success. Sessions and packages range between $50 to $400/month. As much as I would love to provide this service to everyone for free, I simply cannot. For free resources and information, please check out my YouTube channel and Instagram account, or download the #PotatoDiet 101 PDF.

Anything else you want to share with me...including your deepest darkest secrets? lol*

Setareh's Coaching Terms & Consent*

I agree to the conditions

Read the terms and conditions here.

Phone

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Health Coaching Application

STALK ME SHAMELESSLY!