“One cannot think well, love well, sleep well, if one has not dined well.” — Virginia Woolf

The Essentials, 1:1 coaching, Pantry review questionnaire

Name

First Name

Last Name

What was your catalyst for connecting with The Vegan Mary?

How would you describe your general health?

List your top three health goals.

Are you willing to make changes to your diet?

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

What would you like to change most about your diet?

Any food allergies?

How did you hear about us?

Please check all that apply.

Social media

Referral

Website

Other