Welcome form - Inés Viñas

Thank you for getting here!

Soon we’ll get down to work, but first I’d like to know a little bit more about you.

In this form, I ask you about your concerns, your medical history and other information of interest. If I know beforehand what motivated you to get here, I will be able to study your case in advance and make sure we make the most of our time.

Name *

E-mail *

Please enter the email address with which you made the booking or purchased the plan.

Mobile phone *

Age *

Weight (Kg) *

Height (m) *

Have you ever got a nutrigenetic test done? *

If the answer is yes, the results can help me a lot to help you. I will be happy to examine them if you send them to me at consulta@inesvinas.es.

Do you coexist with any medical condition or diagnosis (past or present) that I should know about?

From fatigue or apathy to skin problems, constipation, insomnia or high triglycerides, any information can be very helpful.

Do you take any dietary supplements or medication? If so, which ones, how often and since when?

Are there any food groups that you don't eat? Do you have any allergies or intolerances (known or suspected)?

What did you eat yesterday?

Do you smoke or drink alcohol? How much?

What motivates you most and what do you expect from nutrition therapy?

Do you give me your express consent to access the information provided and authorize me to treat your personal data? *

Compulsory under current legislation on the Protection of Personal Data (see more details in my Privacy Policy and Legal Notice)

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