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Food for Healthy Bones
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* Indicates required question
Email
*
Your email
First and last name
*
Your answer
Best Phone Number
*
Your answer
Your Bones: Have you been diagnosed with osteopenia or osteoporosis?
*
Osteopenia
Osteoporosis
Required
What confuses you about your bone diagnosis?
Your answer
Kindly share your food journey. Ex: You love watching cooking shows, attending cooking classes, and enjoy learning about the health benefits of food.
Your answer
Cooking: What type of cook are you? This will help direct you towards the appropriate recipes.
Cooking:
*
Like to cook simple recipes
Enjoy cooking new recipes
Feel intimidated but curious about cooking
I'd rather order in
Required
What kind of an eater are you?
I am an:
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Animal Protein Eater
Fish Protein Eater
Vegetarian
Vegan
Other:
Required
Animal / Fish Protein Eaters - Do you eat?
*
BEEF: Organic 100% grass-fed beef
BEEF: Regular beef: CAFO stands for Confined Animal Feeding Operation beef
Lamb
Organic Pasture-raised chickens
Regular chicken
Wild-caught fish
Farm raised fish
Pasture-raised eggs
Regular eggs
Other:
Required
Dairy
DAIRY: Do you eat/ drink?
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I'm dairy Free
Cheese
Yogurt
Milk
Kefir
Butter
Other:
Required
NON-DAIRY: Do you drink?
*
Almond milk
Soy Milk
Hemp Milk
Oat Milk
Coconut Milk
Required
Supplements:
Supplements: Do you take these basic bone supplements?
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Calcium?
250 mg / day?
500 mg / day?
750 mg / day?
Other than above
Type of Calcium - Calcium Malate
Calcium Citrate
Calcium Carbonate
Calcium - Hydroxyappetite
Other type of Calcium
I don't take calcium supplements
Vitamin D3?
Magnesium
Fish Oil
Dr. McCormick's Sustain
Dr. McCormick's Stim
Collagen
More
Other:
Required
SUPPORT: What is your challenge Feeding Your Bones?
Ex. Don't have a big kitchen, don't live close to a health food store.
*
Your answer
Do you have gut issues, food sensitivities, or avoid certain foods? If so, what are they?
Sensitive to Oxalates
Anti-histamine diet
H-pylori
Other:
Is there anything you would like me to know?
Your answer
Thank you for taking the time to complete this form for my Food For Healthy Bones Program. An email will follow with more details.
Your answer
Irma Jennings, INHC
Osteoporosis Patient Navigator
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