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What's Holding You Back From Your Nutrition Goals?

What is your main nutrition goal right now?

*

A

Build healthier eating habits

B

Manage my weight

C

Improve sports nutrition and recovery

D

Feel more energized throughout the day

E

I'm not sure where to begin

How would you describe your current eating habits?

*

A

Mostly balanced and consistent

B

Healthy some days, inconsistent on others

C

I often skip meals or eat on the go

D

I feel overwhelmed by nutrition advice

What is your biggest challenge with healthy eating?

*

A

Meal planning and preparation

B

Portion sizes or snacking

C

Emotional or stress-related eating

D

Knowing which foods to choose

E

Staying consistent

How often do you plan your meals ahead of time?

*

A

Almost every day

B

A few days each week

C

Rarely

D

Never

What would you most like help understanding?

*

A

Building balanced meals

B

Protein and nutrition for exercise

C

Food labels and grocery shopping

D

Developing a realistic eating routine

E

Weight-management nutrition strategies

How physically active are you?

*

A

Very active — regular training or sports

B

Moderately active — exercise several times weekly

C

Lightly active — walking or occasional exercise

D

Currently not very active

What tends to get in the way of your nutrition goals?

*

A

Not enough time

B

Lack of motivation or consistency

C

Conflicting information

D

Difficulty planning meals

E

I need an approach that fits my lifestyle

What kind of nutrition support would be most helpful?

*

A

One-on-one nutrition guidance

B

A structured Healthy Eating Reset

C

Sports nutrition guidance

D

Practical meal planning and food education

E

I'm unsure and would like a recommendation

How ready are you to make changes to your eating habits?

*

A

Ready to begin now

B

Interested in starting within a month

C

Exploring my options

D

Just gathering information

Would you like personalized guidance from Balance Therapy and Wellness?

*

A

Yes, please contact me about nutrition consulting

B

Yes, I'd like information about the Healthy Eating Reset

C

I have a few questions first

D

Not right now