Please provide the following:

Please answer the following questions:

1. Are you willing to make changes in your diet and lifestyle if you knew that you would have
beneficial results in your surgical process?
Yes
No

2. Which one of the following is most true?
I eat over 8 servings of fruits and vegetables every day.
I eat at least 6 servings of fruits and vegetables each day.
I eat around 4 servings of fruits and vegetables each day.
I usually eat 2-3 servings of fruits and vegetables a day.
I don’t eat many fruits or vegetables daily

3. Would you be interested in having less bruising, scarring and swelling in your recovery from surgery?
Yes
No

4. Is it important to you to have precautions to safely use anesthesia and reduce the
long-term neural impact on the brain?
Yes
No

5. If you were guaranteed improved surgical outcomes through a supplement and lifestyle program,
how much would you be comfortable paying?
$1,000+
$600-$800.
$400-$600
$250-$400
Under $250

6. Would you benefit from a diet and lifestyle program that helped ensure long-term maintenance
of your surgical procedure?
Yes
No

7. Have you ever taken a vitamin, supplement, herb or nutraceutical before?
Yes
No

8. If you had the choice between the following, which would you choose:
I would choose an impeccable diet with a few targeted nutritional supplements for targeted health goals.
I would choose a good diet with supplements as an insurance policy and as a targeted means to achieving specific
       health goals.
I would choose an average American diet, and make up the difference with supplements that fill the gaps, ensure
       an insurance policy nutritionally, and support me in achieving targeted health goals.
I would eat whatever I wanted and wouldn’t worry about it.
I would eat a great diet and would prefer to reach my targeted health goals with nutrient-dense superfoods.

9. In the long term, do you think change in diet and lifestyle is a good idea for you?
Yes
No

10. In the short term, do you think you would be better able to make changes if you had
expert coaching support to guide you through the steps?
Yes
No

11. What is the number one concern you have with your upcoming surgery?
Scarring
Bruising
The possibility of improper healing.
A long healing process that takes me out of commission for longer than desired.
Any surgery scares me.

12. Would you consult your doctor before undertaking a nutrition program for enhanced healing outcomes in plastic surgery?
Yes
No