Thank you for your time. I know your time is very valuable. 

Can you please help me to help you better by completing this short survey. It should only take a minute or two.

Please answer as many questions as possible.

Also the new chart I just made for you is at the bottom of this page. 

Please note that all fields followed by an asterisk must be filled in.
First Name*
E-mail Address*
Did you receive all 7 days of your free mini-course?
Yes
No
How understandable was the mini-course?
It was very Understandable
I understood most of it
It was kind of confusing
What health issue are you wanting to reverse. Check all that apply
Overweight
Acne
Heartburn and acid reflux
Constipation
Itchy skin
Headaches
Low energy
Gas pains
Diarrhea
Mood swings
Other
About how long have you been on the diet plan?
2 weeks
3 weeks
4 weeks
5 weeks
6 weeks
7 weeks
8 weeks or more
How strict did you follow the dietary guidelines
100%
80%
60%
40%
20%
10%
0%
What is your specific health goal.
How close are you to reaching your health goal as a result from this diet?
100% reached my goal
80%
60%
40%
20%
10%
5%
0%
Specifically how has your health improved as a result from this diet program?
How can I improve the mini-course to help you better?
What would you like me to go into more detail about?
What is the easiest part of the diet to stick to?
What is the hardest part of the diet to stick to?
What is your biggest health question?
Please enter any additional comments here.
 

You only need to follow the chart about 90% strict to get good results

Save the picture and then you can print it out 

food combining chart


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