Questionnaire for 30 Days to Healthy Living Jump Start Program

We’re happy you’re here!

Please complete the short questionnaire below to share your current lifestyle and program goals.

When do you want to start? *
1. Ready to make the change? *
2. When do I eat? *
3. Why do I eat? *
4. How do I eat? *
5. What about water intake? *
6. Can I find alternative foods, replacing the ones that aren’t good for me with ones that are? *