Plan B

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In the past, what plan / Program / system has REALLY worked for you to reach your nutrition goals? What about it worked? *

What did you eat yesterday? All of it, give me the full picture. *

What foods do you feel REALLY GOOD with after eating? *

What foods make you tired? *

What is your BEST breakfast? *

When do you LOSE IT with food, throw in the towel, say screw it. Talk me through it, what happens? *

What is your biggest obstacle right now to achieving your physical goals? *

What times do you usually eat? What are your current habits? *

What is your WHY? Why do you want to be on this journey, now? What do you REALLY want? *

What is your current exercise routine? *

Client Consent to Be Treated
I authorize Dr. Jodi Dinnerman to provide ongoing consulting and support for my health goals. I understand that no guarantees can or will be made as to results of care, treatment, or supplements / diet prescribed and intend this consent to be continuing in nature even after a diagnosis has been made and treatment recommended. This consent will remain in full force until revoked in writing.
Financial Agreement
I acknowledge that I am financially responsible for all services provided and that the program involves a reoccurring payment monthly in the amount advertised. I understand that this amount will be charged to my account monthly until I ask that it is stopped. I acknowledge that all of my questions have been answered about Dr. Dinnerman's services, and that they are not a guarantee of results.
Privacy
I acknowledge that Dr. Dinnerman will not share my information or disclose my involvement with her program outside of the normal and customary procedures of the program (joining facebook community, etc).
Refunds
I acknowledge that my initial investment of $195 for the intake process to Reset90 is non refundable, but can be transferred per the terms described. I acknowldege that my monthly investment, once made, is not refundable but can be used as credit for other services that Dr. Dinnerman offers.

By typing my name below I am consenting to these terms.

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