Weekly Food Summary

Weekly Food Summary

HNS Logo

Please fill in this summary once weekly and submit.

    Do you eat after dinner?NoYes
    Are you eating more carbs such as pasta, rice, potato, bread?NoYes
    Are you eating more sweets?NoYes
    Did you increase fruit consumption?NoYes

    Note: The information entered on this page will be sent to Holistic Nutrition Services and to your email address entered above.
    1. Click the Send button above.
    2. Wait for a "Thank you" message to appear below.
    3. Click here to return to the Intake Forms Menu.


    Copyright (C) 2024 Holistic Nutrition Services, LLC. All Rights Reserved.