LIWA BUDDY FORM

First Name*

Last Name*

Phone*

Email Address*

WHAT IS YOUR LEVEL OF EXPERIENCE WHEN IT COMES TO WEIGHT LOSS?*

Please Select One

Beginner
Intermediate
Advanced

What is your communication preference?

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Calls
Chats
Both

WHAT IS YOUR SCHEDULE AVAILABILITY?

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Morning
Afternoon
Evening

What is your personality trait?

Please Select One

Introvert
Extrovert
Balanced