Bring Nourishment Home Registration

1

Name* This field is required.

First Name

Last Name

2

Email* This field is required.

example@example.com

3

Phone Number* This field is required.

Please enter a valid phone number.

4

What was your last connection with THAC* This field is required.

Personal Counselling for self

Care giver for a family member who has done Personal Counselling Session

3 Day Workshop

9 Week Nutrition Re-education Classes

RBC -Emotional Well Being

RBC - The Fat Trap-beyond Yo-Yoing

5

How familiar are you with the kitchen setup, choose the best option that relates to you* This field is required.

Beginner but interested in making my own meals

Usually my cook / my family members make meals for me

Comfortable in the kitchen and cook food often, though new to making food the natural / healthy way

6

How familiar are you with the ingredients, choose the best option that relates to you* This field is required.

I just know a few Veggies and Grains

I am familiar with the local variety of vegetables and grains available

I use and experiment with a wide variety of produce

7

Which area do you need most help?* This field is required.

Understanding the methodology of making foods to preserve its nutritive value at optimum

Adding variety in meals

Other

8

Your expectations from this workshop* This field is required.