Hello 👋 My name is Selda, I am the founder and primary dietitian of Patient Nutrition.
Thank you for taking the time to reach this questionnaire! I would love for you to use this form as a way to communicate to me in your own words where you're at in your nutrition journey and what you need. This way, I can assess if the the PCOS Protection Program is something that would be appropriate for you. I have created this short 7-minute questionnaire for you to communicate your needs and goals.
I appreciate that many of these questions can be confronting and personal. Please answer what you can to the best of your ability and comfort level. For this reason, there are no required responses (besides your name & email so I can get back to you appropriately), so you don't need to answer all questions. You do not need to share anything you are not comfortable with.
Upon completion of this form I will get back to you via email as soon as I can where we can talk through details.
- Selda, Patient Nutrition
*All information completed here is confidential and for the purpose of gathering accurate patient information for treatment.