Please enter your first and last name* Your email* What are your meals typically like? Quick and easy Planned and prepared On the go options Other Other What, if any, are you most nervous about when it comes to diet changes?What are some things you enjoy about healthful eating?What do you typically eat throughout the week?Breakfast Share sample picture of your breakfast plate Drop files here or Select files Max. file size: 2 MB. Lunch Share sample picture of your lunch plate Drop files here or Select files Max. file size: 2 MB. Dinner Share sample picture of your dinner plate Drop files here or Select files Max. file size: 2 MB. What types of food do you dislike?What are your favorite foods and/ or beverages?What motivates you to make changes in your eating habits?What kind of lunches do you enjoy? Leftovers from dinner Anything quick and easy I like having variety Other Other How much time do you have for breakfast? Less than 10 minutes 10-20 minutes More than 20 minutes How much time do you have to prepare dinner? Less than 30 minutes 30-45 minutes Is there anything else you'd like the Health Coach to know about your diet?Please select any regimens you are familiar with Sun Salutations Rebounding Dry Brushing Hot/Cold Showers Meditation Journaling How often do you exercise? Everyday 5-6 times a week 3-4 times a week 1-2 times a week Little to no exercise per week What kinds of exercise/ physical activity do you enjoy?What kinds of exercise/ physical activity do you enjoy the least?What do you like to do to wind down or relax? How often do you do this?How often do you meditate? Everyday 5-6 times a week 3-4 times a week 1-2 times a week Little to no meditation per week How often do you go outdoors? Everyday 5-6 times a week 3-4 times a week 1-2 times a week Little to no exercise per week Are there any other regimens you enjoy doing?