FREE Online Wellness
Evaluation Questionnaire

How healthy & balanced is your diet? Find out today!

If you often wish: “I want to eat better and live healthier?”, “I wish I had more energy” or “I want to lose weight!” wanting to look as well as feel different so you can perform better in all aspects of your life – then this quick & free online evaluation is for you!

Assessing your current food & lifestyle choices & habits can help you gain insights where you may be falling short and how you can improve it in order to reach your wellness goals.

Fill in the form bellow and allow me 24 hours to analyse it and get back to you with full evaluation, pointing out where you may be going wrong and recommendations on how to reach your wellness & weight management goals.

This valuable free service is my gift to you, so you can make an educated decision in the health choices you make and health journey you next take!

Free Wellness Evaluation Questionnaire

1Your Goals
2Your Nutrition & Lifestyle (Part 1)
3Your Nutrition & Lifestyle (Part 2)
4Digestve Health
5Heart Health
6Immune Health
7Skin Health
8Other Lifestyle Habits
9Your Contact Details

Form only takes 5-10 minutes...

Your Goals

Please fill in the basic information below so that your Body Composition Requirements can be established: BMI, Daily Protein Factor & Optimum Energy Intake