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Please answer the questions below so we can better understand each other and be prepared for productive communication 😊

The usual length of the first nutritional coach session is 45-60 minutes (155 €) ,
next consultations are up to 30-45 minutes (100€). This time is usually sufficient.

A lifestyle discussion in our intensive consultation lasts up to 90-120 minutes (220€).

An express consultation is 15 minutes and deals with a maximum of 3 questions and it is and option after our 1st full time meeting.

After each coaching session you receive a summary of the main points we will discuss.
For each person consulted, recommendations for diet and lifestyle changes are formed INDIVIDUALLY according to unique situation with health situation.

We work together on your health to uncover your full potential!

Email *

Your name, family name and age *

Gender *

Male

Female

What do you regularly eat now? (multiple items are possible) *

lean meat

fatty meat

dairy

fish and seafood

eggs

coffee and tea

low carb vegetables and non sweet fruits

high carb fruits and vegetables

nuts

Cereals (wheat, oats, rice, barley, corn, etc.)

Legumes (peas, beans, soybeans, lentils, etc.)

High-carbohydrate snacks (chips, candy bars)

Alcohol

Fastfood

Protein powders and other sport supplements

Other:

Required

What dietary strategies have you tried so far? (multiple items are possible) *

Low Carb High Fat

Ketogenic diet

Carnivore

Low Fat

Paleo

Intermittent Fasting

Fasting 24-48 hours

Fasting longer 48 hours

Calorie counting

IIFMM

Other:

Required

How do you rate your progress on the diet and in your health? *

much better

progress has slowed

no progress

worse

What is the most important for you? *

Efficiency: the most important thing for me is to achieve good results

Time: I want quick results

Caring service: I want caring attitude towards myself and my goals

Other:

Do you have any experience with keto diet? If so, for how long? *

Have you tried intermittent fasting? How many hours? Days? *

Please describe in your own words your current diet: *

What are your health concerns right now? *

What do you want to get out of our consultation? *

What has changed in your well-being for the last 6 months? *

What nutritional supplements do you take? *

What do you expect from our coach session?

What else do you want to add about your health and diet?

Type of preferred coach session *

Initial consultation up to 60 minutes (155€)

2nd consultation up to 45 minutes (100 €)

Express-consultation up to 15 minutes (50 €)

Intensive lifestyle session (diet, sleep, stress, biohacking, etc.) up to 90 minutes (220 €)

Support with menus and support for the chosen diet (140 €/2 weeks)

package "Careful": 2 health and nutrition consultations and accompaniment+recipe book+express consultation (270 €/2 weeks)

Other:

Important❗️ I am a nutrition, wellness and quality of life consultant, and any information coming from me is for educational purposes and is NOT intended as a medical prescription or a call to action. *

I accept

I don't accept

Date *

YYYY

à votre santé! See you soon in email ✌️

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