Low Carb Survey

The purpose for this site is to create a place where people can share and encourage each other to reach a common goal of healthy living. No cost to join or participate.

A positive self esteem begins with healthy foods, a healthy attitude, a healthy cash flow income and not necessarily in that order. Most of “Life’s Challenges” can be solved with one or more simple adjustments in these areas to impact a positive result.

You are NOT alone. We can help you in 1 or more of these areas if that’s what you want. Complete the questionnaire below to begin. Your responses will be reviewed and a site moderators connect with you shortly.

Win Back Your Health Questionnaire

What Is Your Name? *

What's Your Email or Contact Number? *

Do you agree that eating the right foods and having a healthy attitude is some of the keys needed for success whatever that may be? * *

Yes
No

Do you feel successful? *

Yes
No
Sometimes

Are you HAPPY? *

Yes
No
Sometimes

Do you PREP your food during the week? *

Yes
No
Sometimes

Do you put money away into your savings account every month as if it were a bill? *

Yes
No
Sometimes

Do you experience Anxiety? *

Yes
No
Sometimes

Do you participate in regular physical activity? *

Yes
No
Sometimes

Does associating with people who've got your back important to you? *

Yes
No
Sometimes

Captcha Verify: 10+5= *

Comment

Scroll to top