Online Questionnaire 

for remote / online clients

 

This is our online questionnaire for remote/online clients.

Please complete the form and click the “Send” button to submit it directly to our email. This will ensure that I receive all the necessary information to assist you promptly and efficiently.  After submitting the form, you will receive an email to confirm a timeslot for your online consultation, where we will discuss your needs and provide personalized assistance.

Easy as 1,2,3

How It Works

Contact us

Online clients will be asked to complete the online questionnaire above prior to your first appointment so we can review your information and provide the most tailored and effective support.

Don’t forget to mention if you’re interested in Genetic Weight-loss.

First Appointment

After reviewing your questionnaire, we’ll arrange a first appointment via phone or Teams to discuss your information and clarify any additional information needed for your diet plan construction.

For genetic client’s, we will arrange for a DNA sample collection via courier. We offer convenient courier services for package delivery and collection.

Second Appointment

Your second appointment will focus on an in-depth discussion of your diet calculated. Please note that all diets and food lists will be send via email after your session.

Follow-up sessions will be scheduled once you receive your diet plan to ensure we adjust and support your progress effectively.

For genetic clients, this appointment is for the review and detailed discussion of your genetic report. This will help us tailor a personalized approach based on your unique genetic insights. You’ll receive a full report with diet and lifestyle recommendations via email.

Support

We offer unlimited  WhatsApp support and check-ins for the first 3 months.

Payment

For online consultations we require the full payment via EFT  before diet plans are emailed.

For genetic testing, full payment is required via EFT before a DNA sample kit is sent via courier. The practice makes direct payments to the lab through an online portal, which requires payment to be completed before any testing can begin.

All online BARK clients must pay the full consultation fee upfront to confirm their booking

Please complete the form below & submit

Please provide a phone number for WhatsApp communication
WHAT IS YOUR NEED FOR A DIET CONSULTATION
Selected Value: 0
Please indicate your urgency for an online consultation and we'll try our best to accomodate your needs.
Please indicate your current weight and any weight-loss strategies you have tried in the past.
Do you have any diagnosed medical conditions or suspect you might have any? Please give more information.
Do you suffer from the following
Have you had recent blood tests done?
Please provide information for prescribed and or over-the counter medications used.
Please provide information for prescribed and or over-the counter supplements and shakes used.
DIET HISTORY: Please choose what is applicable to your current diet
Please share details about your current activities, such as going to the gym, walking, cycling or any other routines you follow?
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