Personal Profile (AFTER)

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* 1. Full name

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* 2. Email

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* 3. My current cooking level is:

Absolute beginner

Beginner - Level 1

Intermediate or higher

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* 4. My current cooking frequency is:

Less than 25% of all meals

25%-50% of all meals

50%-75% of all meals

75% or more of all meals

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* 5. My current daily diet is:

Diet is 25% or less whole food ingredients

Diet is 25% - 50% whole food ingredients

Diet is 50% - 75% whole food ingredients

Diet is 75% or more whole food ingredients

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* 6. My current body confidence and relationship with food is:

Very poor

Poor

Fine

Good

Excellent

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* 7. Please select the option that best describes you:

I had success in losing some weight through the Homemade Program

I did not have success in losing any weight through the Homemade Program

I am not sure

I am not trying to lose weight

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* 8. If you lost any weight through the Homemade Cooking Program, please enter it here in pounds:

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* 9. To achieve my ideal weight, I would still like to lose:

5-9lbs

10-24lbs

25-40lbs

More than 40lbs

I am not trying to lose weight

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* 10. Did you experience improvements with any health issues (tick all that apply):

I did not have any health issues when the Program started

Diabetes or Pre-diabetes

High blood cholesterol

High blood pressure

Heart disease

Menopausal changes

Food allergies or digestive issues

I'm not sure

I have results and they show no improvements

Other (please specify)

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* 11. If you experienced improvements with any health issues, please specify here and enter your current blood numbers here, if known (blood sugars, cholesterol, pressure)

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* 12. Did you experience any other improvements (skin, sleep, energy, moods, digestion, allergies, etc)?

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* 13. Did you achieve your goals through the Homemade Program? Please explain

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* 14. How likely is it that you would recommend Life-Changing Cooking to a friend or colleague?

Not at all likely

Extremely likely

Personal Profile (AFTER)

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* 1. Full name

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* 2. Email

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* 3. My current cooking level is:

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* 4. My current cooking frequency is:

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* 5. My current daily diet is:

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* 6. My current body confidence and relationship with food is:

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* 7. Please select the option that best describes you:

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* 8. If you lost any weight through the Homemade Cooking Program, please enter it here in pounds:

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* 9. To achieve my ideal weight, I would still like to lose:

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* 10. Did you experience improvements with any health issues (tick all that apply):

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* 11. If you experienced improvements with any health issues, please specify here and enter your current blood numbers here, if known (blood sugars, cholesterol, pressure)

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* 12. Did you experience any other improvements (skin, sleep, energy, moods, digestion, allergies, etc)?

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* 13. Did you achieve your goals through the Homemade Program? Please explain

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* 14. How likely is it that you would recommend Life-Changing Cooking to a friend or colleague?

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* 15. We would be delighted if you could provide us with a testimonial here!

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* 16. Do you have any suggestions or feedback on ways we could improve the program?