Not sure how to take the first step?

First Name*

Last Name*

Email*

Phone Number*

My Reason for Looking into Health Services are Mainly:
I want to be my best self.I want to lose 10+pounds.I want more energy and to lead a healthier life.I want to use food rather than medicine to heal digestive, reproductive or other health issues. If so, please specify below.It was recommended to me that I should look into becoming healthier and I am not thrilled about it!

Which Best Fits how You Feel Right Now:
I am healthy and need a boost to get to the next level.I have a special occasion coming up and want to be at my best.I used to be in great shape and feel it is slipping I want to get it back before its too late.I have no idea where to start with nutrition and or fitness and need someone to get me back on track.I have no idea where to start and want someone to guide me step by step.

I am Looking for:
A one-time consultation.A short term plan to get me back on my feet.Ongoing guidance from someone who can support me throughout this process.

Do you exercise regularly? If so, how often is that and what do you do?

Have you had a past experience with a nutrition plan? If so, was it successful, why or why not?

Which of the Following Best Describes Your Biggest Challenges with Nutrition:
Not sure what foods are “okay” to eat and want to know more.Need an exact plan.Need flexibility in a plan.Struggle with digestive issues.Meal planning and recipes overwhelm me.I can’t stick to what I set out to do.

Do you have a specific size or weight you'd like to be, please include that here along with your current size and weight?

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