Biblical Nutrition 101: Survey & Download
Thank you for your interest in this course. Before downloading your free copy of Biblical Nutrition 101, please fill out this short informational survey. This will help us better understand how to serve your needs as we plan additional resources in the future. Be assured we will not share your answers or personal information with any outside marketers or solicitors. * Required
First Name:*         Last Name:*
Address1:
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*Country: United States Canada Other   *State/Province:  Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming   *Postal Code:
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Gender:* Male Female
Age Group:* 18-30 31-40 41-60 61+
1. How are you planning to use this course?* Personal Use Church Groups Health Ministry Support Group Meeting Other Other:
2. Are you a Health Minister?* Yes No
2a. If so, for how long? Choose One 0-1 Years 1-2 Years 3-4 Years 5-6 Years 7-8 Years 9-10 Years
3.What is your primary interest with Hallelujah Acres?* Information About Lifestyle & Diet Recipes Children's Health Product Information Healthy Food Preparation Health Issues Testimonies Other Other:
4. How did you initially hear about us?* Health Minister Friend/Family Books/Video Magazine Ad Back To The Garden Magazine Hallelujah Acres Lifestyle Center Resource Center Conference/Event Television Radio Search Engine/Internet Seminar - At Hallelujah Acres Seminar - NOT at Hallelujah Acres Other Other:
5. What is your primary health interest?* None Auto-immune Disorder Cancer Candida Depression Allergies Obesity Heart Disease Osteoporosis Diabetes Other Other: