What is your main health concern(s)?
How will your life change if you no longer have this health concern(s)?
How will your life be if you ignore this health concern(s)?
How motivated are you to meet your goals and address this health concern(s)?
A Little Motivated
How committed are you to making the changes necessary to meet your goals and address this health concern(s)?
A little committed
Is there anything holding you back from making changes? If yes, please explain.
Which foods/beverages would be the most difficult for you to give up?
What would it take for you to commit to giving up one or more of these foods/beverages?
Do you currently exercise? If yes, what types of exercise do you do?
Are you looking to lose weight quickly - OR - are you looking to find the underlying cause of a health concern?
Have you in the past, or are you currently, eating a vegan diet?
Are you open to taking supplements, if needed?
What have you tried in the past to improve your main health concern(s)?
What are you NOT willing to try to improve your main health concern(s)?
Are you ready to make an investment in your health?
I'm on the fence
Do you experience any of the following symptoms? (Select all that apply)
Is there anything else you'd like to tell me?
How did you find me?
Word of mouth
American Nutrition Association
Nutritional Therapy Association
Bioindividual Nutrition Institute
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