Revisit Form

I respect your privacy! Please be assured that all of your information will remain confidential.

Please fill out the following and submit the day before your next session:

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Name *

First

Last

Email *

What overall positive changes in your health and well-being have you noticed since starting your program? *

What goals have been met? *

Are there areas you would like to focus on, shift or approach differently in order to meet your goals? *

What recommendations did you find helpful and which do you continue to use? *

Please list any people in your life you think could also benefit from work like this. *

What is your main concern at this time? *

Any other comments? *

How is sleep? *

Constipation or diarrhea? *

Any changes with weight? *

How is your mood? *

Are you cooking more? *

What foods do you crave? *

What is your diet like these days? *

Anything else you would like to share? *

Submit

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DISCLAIMER: I am not a medical doctor, dietitian, or nutritionist. I do not hold a degree in medicine, dietetics, or nutrition. I make no claims to any specialized medical training, nor do I dispense medical advice or prescriptions. This content is not intended to diagnose or treat any diseases. It is intended to be provided for informational, educational, and self-empowerment purposes ONLY. Please consult with your doctor or wellness team if you have any questions regarding my whole foods program, and then make your own well-informed decisions based upon what is best for your unique genetics, culture, conditions, and stage of life.

Revisit Form

Please fill out the following and submit the day before your next session:

Join my mailing listFREE STRATEGY SESSIONACCREDITATION & AFFILIATESTERMS & CONDITIONS

FOLLOW ME ON SOCIAL MEDIA

Join my mailing list

FREE STRATEGY SESSION

ACCREDITATION & AFFILIATES

TERMS & CONDITIONS