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Email
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Your email
Name Please :)
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Your answer
How did you get here?
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Ashley told me to check it out!
Kelly told me to check it out!
Some other way!
What are your health goals (more energy, lose weight, build muscle, nutrition, better digestive health, immune health, stress management, healthy aging, womens/mens health, etc)?
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Your answer
What have you tried before and why didn't it work for you?
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Your answer
Do you eat three meals a day?
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Yes
No
If you skip any meals, which meals do you skip?
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Your answer
Do you snack? What do you usually snack on?
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Your answer
How many times a week do you eat out?
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1-2
3-4
5-6
7+
Almost never
How much water do you drink daily? What else do you drink?(tea, juice, soda, coffee/energy drinks)
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Your answer
When are you most tired?
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Upon waking up
Mid morning
Lunchtime
Afternoon
Early evening
Evening
When are you most hungry?
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Your answer
What do you usually eat for breakfast?
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Your answer
What do you usually eat for lunch?
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Your answer
What do you usually eat for dinner?
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Your answer
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