Eat4Health

Renew your relationship with food

Assessment Form

Upon submission, an invoice will be sent via paypal to your listed e-mail address.  Invoice must be paid prior to results being sent back to you.  Thanks!









*How would you describe your job? (Check all that apply)
Physical
Mental
Stressful
Easy-Going
Secure
Non-Secure
Exhausting
Relaxing

Consent, Disclosure and Disclaimer

I request that Leslie McKerchie, Nutritional Educator perform an evaluation and set up a program for the purpose enhancing my health.

I understand that Leslie McKerchie has graduated from the Nutritional Consultant Program from the Global College of Natural Medicine.

I understand that the program is not intended as a diagnosis, prescription, or treatment for any disease, physical or mental.  It is also not intended as a substitute for regular medical care.

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