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Nourish to Flourish Pre-Program Survey
Rate each statement from 1 (very low) to 5 (very high), starting with your knowledge and confidence before joining in this epic hands-on DELICIOUS workshop.
First name
*
Any Allergies?
Date you booked to participate in the program
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Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
How are your energy levels on a typical work/school day in the morning?
*
Very low
1
2
3
4
Very high
5
1 is Very low, 5 is Very high
How well do you sleep each night?
*
Very poor
1
2
3
4
Very well
5
1 is Very poor, 5 is Very well
How would you rate your knowledge of overall nutrition?
*
Very low
1
2
3
4
Very high
5
1 is Very low, 5 is Very high
How confident are you in preparing healthy meals and snacks that prioritise protein?
*
Very low
1
2
3
4
Very high
5
1 is Very low, 5 is Very high
How confident are you that your food choices support your energy and sleep?
*
Very low
1
2
3
4
Very high
5
1 is Very low, 5 is Very high
How confident are you in understanding food labels and making healthier choices?
*
Very low
1
2
3
4
Very high
5
1 is Very low, 5 is Very high
How confident are you in making healthy eating part of your everyday routine?
*
Very low
1
2
3
4
Very high
5
1 is Very low, 5 is Very high
How confident are you that you move yiour body enough each day to stay healthy?
*
Very low
1
2
3
4
Very high
5
1 is Very low, 5 is Very high
How confident are you that you drink enough water every day?
*
Very low
1
2
3
4
Very high
5
1 is Very low, 5 is Very high
How confident are you that your fibre intake is adequate?
*
Very low
1
2
3
4
Very high
5
1 is Very low, 5 is Very high
Submit
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