Health Strategy Session Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Please complete the questionnaire that will allow our company to accurately listen and serve during our health strategy session.

Email *

What is your First & Last Name? *

Name of your company (If applicable) *

Preferred Contact Number *

How did you hear about the Health Strategy Session? *

Networking: In-Person with Toney Freeman

LinkedIn Post

YouTube Video

Virtual Networking: LinkedIn Messaging

Offer Mentioned On Interview

Live Workshop/Event

Flyer/Postcard

Which category best describes your health & nutritional experience? *

No Experience:

Some Experience:

Above Average:

Expert Level:

Instructor Level:

What topics would be of interest during our health strategy session? *

Inconsistency: I didn't receive the same quality of product that was in the marketing

Misinformation: I have been recommended the wrong health products before

Google Research: I have tried to research on my own, but there is too much to figure out

I have often felt like the companies who make certain products don't care about quality

I want to become more healthy, but I am unsure the best nutritional products to use

I had a bad experience taking advice from a social media influencer who lacked true skill

I purchased product from a company, but there process was very disorganized

I've had to warn friends not to order from certain companies with inconsistent products

I've had people tell me to try certain products, but they don't explain the benefits clear enough

I am tired of having to take so many supplements, and not knowing which is most effective

I wish I could work with someone who customized a health plan based upon my needs

Because of a bad experience, I don't really trust taking supplements

I didn't really grow up in a health conscious home, so I didn't understand nutritional value

I had been following certain health advice only to discover it was the wrong information

For years, I listened to certain family traditions regarding health that weren't true at all

I want to become more healthy, I just get so down on myself when I don't see enough progress

I had a family who was into health and wellness and their passing made me lose trust

I love the idea of becoming healthy, I just don't like taking pills

I would probably be more into healthy and wellness if the products didn't taste so bad

I need help understanding the difference between medicine and supplements for myself

I want to learn as much about nutrition and supplements to help my family and friends

I want to learn about supplements so I can know when someone is trying to mislead me

Other:

Required

Over the next 6 months, what is the most important item of focus for your health and wellness? *

Learn the exact type of nutrition and supplements I should be taking

Gain insight on how to run a health and wellness business

Lose weight and improve my overall diet

Develop a healthy lifestyle due to chronic health challenges

Improve my exercise and fitness to put on more muscle and overall appearance

Best Time For The Health Strategy Session (Times will be based upon CST) *

Morning: Between 8:00am-10:30am

Lunch Timeframe: Between 11:00am-12:45pm

Early Afternoon: Between 1:30pm-3:45pm

Early Evening: Between 4:30pm-5:45pm

Other:

Select The Best Date For The Health Strategy Session *

YYYY

Thank you for taking the time to complete our health strategy questionnaire. This information will be valuable to our session and maximize our time. Our goal is to listen, gather data, to provide the most accurate feedback that will add value to your time. Upon conclusion of our session, feel free to notify us if you would like to extend the session further.

Send me a copy of my responses.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms