What's your first name? *

 
Hey {{answer_QsOm}}, nice to meet you.
What's your last name? *

 
How about a phone number?

We prefer text over email.
 
Where do you reside, {{answer_QsOm}}? *

 
Where do you work, {{answer_QsOm}}? *

 
What is your job title there, {{answer_QsOm}}? *

 
What medications & supplements are you taking, {{answer_QsOm}} *

 
We want to know about all of your health conditions/concerns and old injuries.  This will help us to help you safely and effectively. *

Please make special note of the following:
Cancer
Heart Disease
Diabetes
Fibromyalgia
Multiple Sclerosis
High/Low Blood Pressure
Arthritis
Blood or organ disease, including Thyroid dysfunction
Spinal Health challenges
Joint Health challenges
 
How many 250ml/8oz cups of water do you drink per day? (4 cups = 1L) *

 
On average, how many hours of sleep do you get per night? *

 
Health Professionals you are working with besides your family doctor: *

Professionals such as:

chiropractor
massage therapist
acupuncturist 
psychologist
physiotherapist.
 
What are you looking to gain from Nutrition Coaching? *

 
What do you think are your biggest nutritional challenges?  What foods do you find "addictive"?

 
If you would like to be coached for a life of superior nutrition, please list the 3-5 things you want to add or eliminate from your current nutrition practice: *

 
Books are cheap!  
If you want a "Meal Plan", try a book from Tosca Reno, Bob Green, Tony Horton (P90X) or other (reputable) popular organizations.  

If you still want to learn how to eat for your best health
 {{undefined}}, all the time you took here will make our start together quicker and easier.

Please send a text to (403) 380-8660 with any questions you have. 

We will be in touch...

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