Please take a few minutes to answer these questions...

ARE YOU READY GET PROACTIVE ON YOUR HEALTH AND WELLNESS GOALS?

Take a few moments to answer the questions below. Then you'll be sent to a page where you can book in for a Culinary mentor session so we can brainstorm a plan together.

Step 1 of 9

11%

1. Do you have any dietary restrictions such as food allergies or intolerances?
- Yes, I or a family member or friend struggles with this.
- No, I don't have any dietary restrictions.

2. Describe your current skill level of cooking:
- I am a terrible cook
- I am ok, but I would like to be better
- I am contending for MasterChef

3. Tell me a bit about yourself? Do you enjoy cooking, what do you like to cook, what would you like to cook, how many do you cook for?

4. Do you ever prepare meals a day or several days in advance?
- Yes
- No
If not, is this something you are interested in incorporating into your lifestyle?
- Yes
- No

5. Where do you find your general information on food/health/wellbeing?

6. Do you feel restricted by your dietary concern? If so, why/how?

7. Would you like to book a Free Culinary mentor session with Adam?
- Yes - DIRECT TO APPOINTMENT PAGE
- No - Thank you for completing this questionnaire, feel free to close this browser.

8. What is your First Name and Last Name
First Last

9. Your Best Email Address

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