Nutritional Analysis
( For Those Seeking Help with Diet and Nutrition Only,if not interested, please Skip this Section and move on to sign and submit the form. )
On a scale of 1 (not willing) to 5 (very willing), please indicate your readiness/willingness to do the following:
To improve your health, how ready/willing are you to…
MindBeingWell: The Wellness Project MindBeingWell@welltherapy.healthcare/(678)250-3093
http:// www.welltherapy.healthcare