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Travel Exlpore Inspire

Initial thoughts

Please fill out the the below form before beginning the program.

Name *

First Name

Last Name

Email *

Goal 1: *

Goal 2: *

Goal 3: *

Food for Thought *

I'm willing to test my current diet with new ideals.

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

I'm willing to complete all assignments/tasks each week.

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

I’m willing to discuss weekly reports together to understand and learn how to take control of my own personal nutrition.

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

I'm willing to reduce/minimize/avoid things in my current diet.

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

I'm not opposed to trying carb cycling.

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

I'm not opposed to trying a fasting protocol.

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

Thank you!

wolf14t@gmail.com

Hours

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