Why Are You Here?

Have you tried it all? Are you looking for a solution?

Are you ready to ditch the short-term diets in exchange for long-term success? Do you want to achieve your very best health?
If your answer is YES, you can complete this Health and Lifestyle Questionnaire or contact me directly for a 30-minute complimentary phone consultation.

Contact Me Directly

Phone Number: 407-620-2315 Email: Beth@Blueprint4health.com

Health and Lifestyle Questionnaire

Name *

Email Address *

Phone *

How much weight do you want to lose?

What weight loss programs or methods have you tried in the past?

What do you struggle with most in terms of eating and nutritions: 

What are your prime motivations for wanting to improve your health at this time? 

Do you have any health issues or concerns you’d like to address?

Do you have any food allergies or sensitivities?

How much water do you drink daily?

How many times to you dine out or pick up fast food during the week? 

How much do you think you spend daily on food, drinks and snacks?

Do you exercise regularly? If so, what type of exercise and how often? 

On a scale of 1 to 10 (10 being highest), how do you rate your stress level on most days? 

Selected Value: 0

On a scale of 1 to 10 (10 being highest), how do you rate your energy levels on most days? 

Selected Value: 0

How many hours of sleep do you typically get per night?

On a scale of 1 to 10 (10 being highest), how important is it to you to achieve your health / weight loss goals right now?

Selected Value: 0

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Simple steps for weight loss and health.
Are You Looking for a Solution?

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work with me!

Debbie P. - Atlanta, Georgia

Having Beth as my Health Coach was the key to my 60-pound weight loss! With her guidance and healthy eating tips, I went off several medications, increased my energy levels, and learned how to make this way of eating a way of life. Work with Beth, you won’t regret it!

Steve G. - Orlando, Florida

My doctor told me I needed to lose weight as my cholesterol, blood pressure and blood sugars were on the rise and referred me to Beth for assistance. The results were fantastic! I lost 60 pounds (and it was easy!) and reduced my dependence on medications. My energy is back and just in time to chase after my new great granddaughter! I highly recommend reaching out to Beth if you have health and weight loss goals to achieve!

Estela M. - Puerto Rico

I feel better than I have in years having lost 30 pounds (so far!) in two months and getting my energy back. And, after 4 years (since I was 5 months pregnant), I can wear my wedding ring set again! I highly recommend reaching out to Beth if you are struggling with your weight and don’t know what to do or where to turn. Your transformation will be amazing!