Quick Nutrition Consultation

QUESTIONS FOR QUICK NUTRITION CONSULTATION

Answers to the following questions can provide information of what might be lacking in your diet and how we can improve it for you to achieve a better state of health,

1. Do you have joints, muscle and bone pain without definite diagnosis ? *

2. Do you have frequent headaches? *

3. Is it difficult for you to get up in the morning? *

4. Do you sleep through the night or have periods of waking up more than once? *

5. Are you low in energy? *

6. Do you feel energized with your choice of food once you had your first meal? *

7.When do you have the first meal of the day? *

8. Do you eat breakfast? *

9.How do you feel after eating? *

10.Do you have symptoms of indigestion? *

11. What is your stress level at home and work, one being the lowest and ten the highest? *

12. Do you suffer from depression and mood swings? *

13. Do you have allergies? *

14. Are you taking medications? *

15. Do you exercise and how often? *

16. Can you give a sample of what you eat at breakfast? *

17. Lunch? *

18. Dinner? *

19. What food makes you feel better, protein, fats or carbohydrates? *

Your Name *

Your Email *

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