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Food Affects Survey

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Thank you for participating! 
You are helping us gather valuable information on how foods affect daily life.

After you complete the survey you will receive a detailed PDF analysis. In addition, a health coach will contact you via email to answer any questions you may have.  

 Why are we doing this? 
Our mission is simple: 
"We help people feel better and enjoy life to the fullest!"


    First, let's talk about sleep. The nutrition you consume can have quite an impact on your sleep patterns. 

    Check all that apply

    Next is pain. Choose all that best describe you.

    Check all that apply

    On to eating and how food makes you feel.

    How do you feel about exercise?

    Check all that apply

    Where do you get your food?

    Check all that apply

    Do you currently take any supplements?

    When you get sick, what do you do?


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    Where do you want us to send
    your analysis?

Send me my Free PDF analysis!
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