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What is our nutrition consultation?

Consultation cost & payment methods

Order a nutrition consultation

Seminars on nutrition, natural treatment & cure

Nutrition is best natural treatment & cure

Natural alternative antibiotics

Nutrition is best natural treatment & cure

Doctors for natural treatment & cure

Vitamin & mineral supplements & herbs

Foods to avoid

Skeptical of natural treatment & cure?

Weight Loss

Natural weight loss

Macrobiotics

What is Macrobiotics?

Macrobiotics: What's in a name?

Macrobiotics: Facts and misconceptions

Imagine!

Macrobiotic diet #7

The food pyramid does not cure anything

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Once upon a time

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After consultation

Ask the nutrition consultant

Nutrition consultation form

Personal and health data sheet

Please review steps 1 & 2 above-left before you fill out this form

Consultation for:

Health condition(s)

Weight reduction

Pregnancy

An athlete

Personal information

Gender	Male Female
Full name
e-mail address
Telephone (country + city + number)
Street Address
City & Country
Profession
Date of birth (year only)
Weight now (indicate kg or lbs or stones)
Weight 1 year ago (indicate kg or lbs or stones)
Desired Weight (indicate kg or lbs or stones)
Height (indicate cm or inch)
How did you hear about our website?

Example of your eating habits

Breakfast
Lunch
Dinner

Marital status

married, Number of Children single

Smoker?

yes no

Your brief medical history

If you need to send a medical report (lab results, MRI report, etc.)

please scan and send as an attachment to our e-mail: tolaymat@hotmail.com

Note: Please keep the size of any attached files to less than 1.0 MB

Existing health condition(s)

Note: List here is not exclusive.
If you have a medical condition that is not listed here, list details in medical history

chronic tonsillitis	chronic diarrhea	bloating
migraines	rheumatism	lethargy
asthma	anemia	peptic ulcers
high blood pressure	diabetes	food allergy
cholesterol/triglycerides	triglycerides	back pain
insomnia	depression	kidney stones
gallstones	acne	skin disorders
heart disease	STD list details in history	cancer list details in history
hemorrhoids	constipation
Bowel movement habit every:	1 day 2 days 3-5 days more than five days

Existing health condition(s)

for women only

facial & body hair	irregular period	ovarian cysts
hormonal disturbance	fibroids list details in history
Pregnant? which month	1 2 3 4 5 6 7 8

Current
Medications

(including supplements)

Have you tried extreme weight loss methods?

Atkins diet, the Miami beach diet, etc. Explain

Additional questions
you would like answered regarding your health condition

Consultation fee payment details

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(do not enter your credit card number here)

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