Your Lifestyle Questionnaire


1. Are you trying to eat healthier? *


2. Do you enjoy preparing and cooking meals? *


What do you eat the most in your household? *


3. How much do you spend on Vitamins / Supplements weekly? *


4. List in order your most frequent cooking style? *


5. How important is eliminating the following from your meals? *

VeryFairlyNot important
Processed Spices with animal products

6. Did you know that eating food prepared and cooked through the above methods can affect how you LOOK, how you FEEL and how long you'll LIVE? *


7. Do you have Medical Aid? *


8. Please tick any of the following diet related health concerns in your family / household? *


9. What would be your biggest health concern in the future? *


10. If you had a 90day health goal, what would it be? *


11. Our Specialist Healthy Cooking System ranges from *£11932 / US$16170* going down to *£3209 / US$4350* on cash payments.

UK based customers can get loans monthly or weekly payments of *£41* down to *£18* over 48months depending on your family needs. Can you afford this?


12. Our meeting will be via Zoom. Do you have the Zoom App?


13. How did you know about Simba's Foods? If you received a flyer please write the booking code at the bottom of the flyer. *


14. Please provide us with your contact details: *

Check out our survey templates or create your own.