Lifestyle Questionnaire


Please complete this questionnaire as honestly as you can. There are no right or wrong answers, and everything you share will be kept strictly confidential. Once you have completed it, please click “Submit” so we can discuss your next steps.

Take an inventory of your usual grocery shopping basket

Thank you for completing our questionnaire! We look forward to reading your responses and connecting with you to arrange the next phase of the process!

Please click the submit button below