Consultation questionnaire
KRISTINA HOLEY + JUSTINE WENGER

Please complete the form below prior to your consultation. 

 
Name *
Name
Birthdate *
Birthdate

FOOD JOURNAL ANALYSIS

Please download our 5 Day Food Journal Outline. Please be as honest and as specific as possible. It’s most effective if it truly reflects how you naturally eat throughout an average week (versus trying to eat a certain way or only recording “good days”). It will be helpful to see what foods/meals you gravitate towards in your lifestyle, what you like to eat, food combinations, timing of food intake, etc.. Try to record at the end of each day so it can be as accurate as possible. If you have any questions before getting started, let us know.