Dana Oleksuk Coaching

1:1 Nutrition Coaching Application

First name*

Last name*

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I'd love to hear all about your current goals (fat loss/weight loss, build muscle, get stronger, improve quality of life, etc.)! What would you like to accomplish in working together?*

Please go into as much detail as possible!

Why do you want to work 1:1 with a me, specifically, as your Nutrition/Macro Coach?*

I'm looking for serious clients only. High level coaching requires an investment that starts at $227 per month and I want us to be YES in working together - financially, physically and emotionally. Are you ready to invest in yourself?*

Please answer yes or no.

By checking this box, you can confirm you are not suffering from an eating disorder, or have a recent history of an eating disorder.*

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