Simple Pure Whole Programs
I am here to bring you mindfulness, minimalism, health and wellness content that will support and benefit your life in the best way possible! It is about you, so I want to hear what you desire. Thank you so much for your time and help in bringing you more great Simple Pure Whole Wellness content! Please also feel free to reach out at info@jenniferweinbergmd.com with any comments or questions.
Sign in to Google to save your progress. Learn more
How did you first learn about Dr. Jennifer Weinberg and the Simple Pure Whole Wellness Method? *
Required
What types of blog posts on www.jenniferweinbergmd.com/blog do you like the most? (Select all that apply) *
Required
Where do you like to follow me on social media? (Check all that apply) *
Required
What is your preferred method for learning? (you can pick more than one) *
Required
What are your top health concerns? (SELECT ALL THAT APPLY) *
Required
If you could design a program to perfectly meet your needs for health and wellness at this time, what would it look like? How much would it cost? How would you receive it (ecourse, book, ebook, videos, emails, in-person, etc.)? *
What do you feel is a reasonable budget for a online program or course of 4-6 hours of content? *
Are you a health coach or other health professional?
Clear selection
If you are a provider, what products or services would help you the most? Please describe your ideal product, topic, service and price point.
What do you hope to see more of from Dr. Weinberg? *
How often do you prefer to receive our newsletter? *
Please provide any additional feedback or comments. Thank you!
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Jennifer L. Weinberg, MD, MPH, MBE. Report Abuse