Schedule your 1-on-1 Consultation

What does my consultation include?

-A one-on-on video consultation (up to 2-hours) and...

- Guidance to help you meet your wellness goals

Consultation Cost: $210 (includes everything listed above provided via Zoom call)

Questionnaire

This helps Lindsey prepare for your 1-on-1 consultation. Lindsey typically spends 2-3 hours researching each and every consultation client prior to their scheduled consultation. Please answer truthfully and be as detailed as possible.

Your Full Name *

Phone Number

Your Email *

Home/mailing address

Age

Gender

Preferred consultation method

Current weight

Desired weight

Height

Allergies

Prior surgeries or hospital stays

Mental health diagnosis

Diagnosed medical conditions

Do you have children? Ages?

Are you pregnant or breastfeeding?

How much sleep do you get nightly on average?

Are you employed?

What is your occupation?

How many bowel movements do you have per day?

Tell us about your family health history

Do you have any food sensitives?

Do you have any diet restrictions?

Please provide us with an example of your daily diet (foods you eat daily)

What supplements are you currently taking, if any?

What prescription medications are you currently taking, if any?

What are your current, biggest health concerns?

What are your main 1-3 goals regarding your health and wellness?

If you were to have a perfect outcome after beginning a nutrition and supplementation program (6-9 months down the road), briefly describe what that would look like for you. *

Additional questions or concerns

Do you smoke cigarettes or use nicotine?

never

rarely

sometimes

often

Do you drink alcohol?

never

rarely

sometimes

often

Do you exercise?

never

rarely

sometimes

often

Disclaimer and Agreement *

I understand and agree

Separate email addresses with a comma.

Submit

Make sure to read our full disclaimer before submitting your answers.

Schedule your 1-on-1 Nutrition Consultation

with Lindsey Duncan, CN ND

What does my consultation include?

Questionnaire

Thank You!

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