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About Me
Nutritional Therapy
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health topic survey
Please complete the survey to help us improve our products and services.
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Name
*
First
Last
Email
*
How would you rate your current nutrition?
Excellent
Good
Average
Needs Improvement
Which areas do you struggle with most? (Select up to 3)
Knowing what to eat
Meal planning/prep
Cravings
Consistency
Lack of time
Digestive issues
Energy levels
Other
If other...
How interested would you be in the following services?
1:1 Nutritional Therapy Sessions
Health Coaching (habits, accountability)
Group Coaching Programmes
Health Based Webinars
Articles
What format appeals most to you?
One off consultation
Short Programmes (4-6 Weeks)
Short, ongoing coaching sessions
Drop in clinics
What has stopped you from seeking support before? (Select all that apply).
Cost
Lack of time
Not sure it would work
Prefer to try on my own
Other
If other...
What kind of support would make the biggest difference to your health right now?
with offer other...
Is there anything specific you would like the health club to offer in terms of nutrition or coaching?
Submit
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