1. How much weight would you like to lose?

 
2. Why would you like to lose weight?
To feel more confidentTo have more energyTo reduce painTo live longerTo reduce risk of health conditions
Other
 
3. What is your relationship like with food?
I'm hungry all the timeI snack a lotI eat a lot of sugarI often feel guilty after eatingI binge eatI'm always on a diet
Other
 
4. What have you tried in the past?
Low calorie dietsLow carbLow fatA healthy balanced dietFasting
Other
 
5. Have you tried other lifestyle habits / products?
Cardio exerciseWeight lifting exerciseDiet teasDiet shakesFood supplements
Other
 
6. What do you most need help with?
Knowing WHAT to eatA step-by-step structured planMotivationAccountabilityRecipesSkincareSupplementsDiagnostic tests
 
7. Are you ready to invest in your health? (Nutrition consultations - £690 for 1 month, £1390 for 3 months, £2390 for 6 months)
Yes, I’m readyI’m not sure
 
First name *

 
E-mail *

 
I am over 18 yrs *
 
Do you have any other comments or questions?