Welcome to Your Personal Questionnaire 
Please take your time and answer as thoroughly as you can. The more you’re able to share, the better I can personally assess your needs and recommend the best next step.

This short set of questions helps me understand what’s going on and what you need most right now. There are no “right” answers, just your honest experience.

Age, Height & Current Weight*
What's your #1 goal right now? (pick one)*
What's been your biggest challenge or frustration? (Example: I eat healthy but keep gaining weight, I'm exhausted by 2pm every day)*
Current eating style (pick one)*
Describe a typical day of eating for you: (Example: Breakfast: oatmeal with berries, Lunch: big salad with chickpeas, Dinner: pasta with marinara, Snacks: fruit, hummus)*
Calories How many calories are you eating per day? (If you’re not tracking, provide a rough estimate).*
How much protein do you think you're getting per day? (pick one)*
What does your current exercise routine look like? (pick one) *
Have you noticed any of these changes? (Check all that apply) *
Are you ready to invest in 1:1 coaching within the next 60 days if it's the right fit?*
On a scale of 1-10, how ready are you to make real changes?*
By submitting, you'll receive your personalized video assessment within 48 hours, plus occasional emails with plant-based nutrition tips for women over 50. You can unsubscribe anytime.