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* 1. Which area(s) of your health do you struggle to find the most help with? Please be specific.

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* 2. Which resource do you typically use in helping find answers to your health concerns?

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* 3. What are your top 3 health concerns at this time?

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* 4. What are your top 3 health goals for 2018?

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* 5. Do you feel your goals are achievable and that your health concerns will be remedied by achieving them? If not, please note why.

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* 6. How would you define "Holistic Nutrition"?

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* 7. Have you worked with a holistic nutritionist before?

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* 8. If you answered "yes" to question 7, which areas of your health and lifestyle did you require assistance with from your holistic nutritionist?

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* 9. If you answered "yes" to question 7, do you feel you were helped by your holistic nutritionist and if not, which areas do you feel were not addressed or remedied? If you answered "no", please enter "N/A".

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* 10. What limitations, if any, do you believe exist in working with a holistic nutritionist? Please be specific.

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