Name
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First Name
Last Name
Best contact email address
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Best phone number
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Do you live in or around/within travelling distance of Glasgow?
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To get full benefit from the programme, I recommend that you live locally/within travelling distance of Glasgow. One, to allow in person meeting for most, if not all, sessions, allowing tasting and dems as part of our sessions. And, secondly, to take full advantage of the local-specific content (the local food shopping session, recommended brands and products).
What is your home postcode?
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What age are you?
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1) What do you most want to get out of working with me?
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Please tick ALL that apply.
Please note, these are the areas I CAN help with. If you're looking to address other concerns, it's unlikely I'm the right nutrition expert for you.
2) Please tell me in 2-3 sentences what specific dietary/health concerns you’d like me to help you with.
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Aim for 30 words minimum.
3) What have you tried up until now to make progress towards your goals?
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4) And what, specifically, has stopped you from reaching your goals up until now?
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Aim for as much detail as possible. Tell me what you struggle with, e.g. lack of time, knowledge, cooking skills, motivation, support.
How strongly do you agree or disagree with the following statements?
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5) Food plays a big part in my life.
6) I really enjoy cooking.
7) I rely heavily on convenience products to make cooking quick/simple (e.g. ready to cook, meal kits, prepared vegetables, etc).
8) I enjoy trying new foods (e.g. from other cultures, chef creations, etc).
9) I tend to go for premium rather than standard goods/services.
10) Where do you buy most of your food shopping?
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Please give supermarket and/or shop names, listing as many as you wish.
11) On average, how often do you shop for food?
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12) When you buy fresh fruit and veg, is it mainly grown in:
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13) On average, how often do you cook meals from scratch?
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14) On average, how much time do you spend on food preparation and cooking?
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15) Do you ever cook as a way to relax, switch off, be mindful, and/or have fun?
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17) Would your friends describe you as being in the 'live to eat' or 'eat to live' camp?
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18) Over the next week, how likely is it that you’d be able to spend a total of 7.5-8.5 hours on your diet?
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On food shopping; cooking; reading recipes, meal plans/suggestions, and healthy eating articles/educational materials/resources.
19) How often are you available for appointments on a Friday between the hours of 10am and 4pm?
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My clinic day is a Friday. To allow me adequate time to study your case and prepare materials for our sessions, I do like to stick to Friday appointments wherever possible. However, I can flex from time to time if some Fridays aren’t suitable for you.
20) What are your biggest motivations for wanting to work with me in particular?
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Please tick ALL that apply.
If we're a good match, how would you like to pay?
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How did you hear about me?
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Do you give permission for me to privately and securely store your information so your enquiry can be fulfilled?
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If you disagree, I won't be able to follow up with you about the programme. Read about how I handle data in the Privacy Policy (link below).
Would you like to be added to my email list, you'll get recipes and meal ideas for free!
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