Big Survey

Hi!

Please can you complete the survey below.

This will help me shape my services so I can

provide you with the tools you need

to achieve your health goals!

What is your biggest health challenge(s) at the moment?

Provide as much information as possible. *

Which best describes your current situation? 2mcw *

Pre-Diabetic

Type 2 Diabetic

Taking a GLP1 but not Type 2 Diabetic

Taking a GLP1 and Type 2 Diabetic

Other

On a scale of 1-10, how happy are you with your health? *

1 is rock bottom, 10 is mega happy

Which age group do you fall into?

18-24

25-35

35-45

46-55

56-65

66-75

Over 75

What topics would you like help with right now?

First Name

Last Name

Email *

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