JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Summer Program Onboarding
I can't wait to connect with you when we start the program on July 13th! Please fill out this form to help me get you started.
Sign in to Google
to save your progress.
Learn more
What's your name, number, and email?
Your answer
Please list your address (so I can send you your book!) *US only
Your answer
Which book would you like (Anti-inflammatory Diet Meal Prep is suggested for the program but if you already have it, I'm happy to send you the other book)
Anti-Inflammatory Diet Meal Prep (recommended)
How to Eat to Beat Disease Cookbook
Clear selection
What are the most significant concerns and challenges in relation to your health/nutrition?
Your answer
How are these issues impacting your quality of life?
Your answer
What have you tried in the past to address these challenges and what were the results?
Your answer
What are your goals from the meal prep program?
Your answer
Do you follow any type of specific diet? (vegan, ketogenic, pescatarian, etc)
Your answer
How will mastering planning, prepping and better nutrition change your life?
Your answer
On a scale of 1-10, how committed are you to making the program a priority over the course of the 8 weeks?
not committed
1
2
3
4
5
6
7
8
9
10
ready yesterday!
Clear selection
Achieving sustainable change in your health requires resources including time, effort and investment. Are you at a place in your life where you make investing in this process a priority?
Your answer
How did you hear about us?
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Champagne Nutrition.
Report Abuse
Forms
