Anxiety and Depression

Nutrition 212 - Anxiety, Depression

Do you experience anxiety?
Do you feel depressed?
There are many possible reasons for this.

Are you interested in learning why?
Are you interested in learning what former sufferers did to relieve anxiety and depression using certain foods, fruits, fruit juices, and beverages (NOT drugs)?
We will provide educational information by e-mail about anxiety and depression. We will respond with possible reasons, and methods that many have used successfully, depending on the cause of the anxiety or depression.
We do not offer or sell any prescription drugs.
FREE: The educational information we provide is free, and there will never be a charge for the information we send you.
PRIVACY POLICY: The Institute will use the information you share with us solely to provide relevant responses to your inquiry.
We will not give or rent or sell any information you share with us.

SECURE and CONFIDENTIAL Nutrition 212: Request for Free Educational Information on Anxiety and Depression

First Name:

Last Name:

Gender:

Age:

Occupation (describe so we can assess the degree of physical activity):

How long ago did you first notice the symptoms?:

Have you had any recent illness or injury? Describe:

Briefly, how would you describe your eating habits and the health quality of your food and drink?

Are you currently taking any prescription drugs? If so, what are they and for what problem? (example, lipitor for high cholesterol, etc):

Are you currently taking any vitamins or minerals or supplements? If so, what are they and for what reason? (example, Vitamin A for eczema, etc):

Anything else you want to tell us about your health problems?:

your E-Mail?:

Repeat your E-Mail?:

Entrance to College of Health and Nutrition

Copyright (c) 2009 by Gary and Bonnie Blank and EUI. ALL RIGHTS RESERVED.