TVM Health Empowerment LLC - Children & Family Survey

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About
FAQs
Services
Resources
Schedule

Dr. Tara D. Meyerink, DCN, CNS, FDNP

TVM HEALTH EMPOWERMENT LLC

Functional NeuroNutrition

Children & Family Survey

Your participation in my brief survey will help me continue development of education and materials to help families like yours!
Thank you!
Dr. Tara Meyerink

* Indicates required field

Name *

First

Last

Phone Number *

Email *

What is your greatest concern right now regarding the well-being of your child(ren)? *

On a scale of 1-5, what is your interest level in learning more about the following topics:

1=No Interest, 5=Very Interested

Addressing learning diabilities, behavioral issues, or neurological disorders with nutrition. *

1 2 3 4 5

Sugar, sugar, everywhere! *

1 2 3 4 5

Environmental toxins that affect the health of your child. *

1 2 3 4 5

Bio-physiological affects of technology. *

1 2 3 4 5

Benefits of eating fruits and vegetables. *

1 2 3 4 5

Discovering the truth about vaccines. *

1 2 3 4 5

What other topics/concerns would you like to discuss with Dr. Meyerink? *

I agree to receiving marketing and promotional materials

Submit

TVM Health Empowerment LLC
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Home
About
FAQs
Services
Resources
Schedule

Dr. Tara D. Meyerink, DCN, CNS, FDNPTVM HEALTH EMPOWERMENT LLCFunctional NeuroNutrition

Children & Family Survey

Dr. Tara D. Meyerink, DCN, CNS, FDNP

TVM HEALTH EMPOWERMENT LLC

Functional NeuroNutrition