Transformation Questionnaire

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What foods are you drawn to, now or in the past?

What foods are you drawn to, now or in the past?   Alcohol Bread Cakes / Pies / Desserts Cereal Cheese (hard / cream) Chicken Chocolate Coffee / Tea Cottage Cheese Creamy Dips Dairy Products Eggs French Fries Fried Foods Frozen Yogurt Fruit Fruit Garlic Honey Hot Dogs / Salami Ice Cream Ice Cream Mexican or Chinese Foods Milk Nuts / Peanuts Olives Pasta Pickles Pizza Pork Chops / Ham / Bacon Potatoes Rice Rich or Heavily seasoned Foods Routine Meals Salt / Salty Foods Sauces / Gravies / Toppings Seafood Snacks / Crackers / Chips Spicy Foods Steak / Hamburger Sweets Sweets / Candy Toast / Jam Vegetarian meals Whipped Cream

What foods do you like that cause digestive problems - gas, rash, allergies, belching?

What foods do you like that cause digestive problems - gas, rash, allergies, belching?

How many soft drinks do you consume in a day?

How many soft drinks do you consume in a day?

Pretend you have no health concerns and can have any meal or food. What would it be?

Pretend you have no health concerns and can have any meal or food. What would it be?