Info

WHAT YOU NEED TO DO

You will be responsible for completing the 3 following forms:

Step 1: Three Day Food Log (sent via email)

In this form, you will keep track of meal times, food eaten, feelings and mood, and daily exercise.

Step 2: The Lifestyle Assessment Form

In this form, you will be asked various questions pertaining to your lifestyle, eating habits, medical history, etc. Please try to be as specific as possible in this form- the more details you give, the more I am able to help you.

Step 3: The Nutri-Systems Profile Assessment Form

In this form, you will be asked to rate specific symptoms or activities on a scale of 0-3, as to how they relate to you and your condition.

There is no 'Save' button, so you will need to complete the forms in 1 sitting. Please set aside 30-45 minutes for The Lifestyle Assessment Form and 10-15 minutes for The NSP Assessment Form.

After the forms are submitted and received, you will receive a confirmation email.

WHAT YOU WILL RECEIVE

Upon completion, you will receive a 4-page document including:      

•  A summary of the Lifestyle Assessment Form
• A summary of the Nutri-Systems Profile Assessment Form
•  A Client Overview detailing health concerns
•  A Summary of my overall recommendations regarding diet, possible supplementation, lifestyle/psycho-spiritual concerns.
• If you are in Busan, Korea: You'll be able to have one free 1-on-1 follow up consultation with me to ask questions if desired.
• A 2 month follow-up questionnaire sent via email.

Your document will be sent to the email address provided on the Registration Form. You can expect to receive it around the end of December at the very latest. Just perfect to fully implement for the New Year! I will examine forms in the order they are received.

PRIVACY CONCERNS

I understand that information relating to personal health can be a sensitive issue. Please be advised that it is my professional duty to hold all such records with the utmost confidentiality. I know that some questions on the forms may seem a little personal. Please try to answer as best as you feel you can. That way, I can help you as much as possible.

Your real name will not be used in any records online or for the purposes of my classwork. Please use your chosen Alias name online while filling out the questionnaires.

THANK YOU!