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Would you be interested in attending a Healthy Eating Seminar followed by a 6 week Clean Eating Challenge?
 
Yes
 
No
 
 
 
If yes, what would you like to accomplish through that challenge?
   
 
 
 
Would you consider yourself to already have healthful eating habits?
 
Yes
 
No
 
 
 
What would you consider to be your major limiting factor in acheiving your wellness goals?
   
 
 
 
What kind of information would you like to obtain from the seminar?
   
 
 
 
Any additional comments
   
 
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