Deep Health Foundation Program | Pilot Application

This takes about five minutes. There are no right answers — the more honest you are, the better I can personalise your programme. Everything you share is confidential.

Your full name, so I can match your application to your account.

Your email address, so I can match your application to your account.

How would you describe your current situation?

Working full-time — employed or self-employedWorking part-timeCurrently between roles or job seekingPrimary caregiver — parent, family, or householdA mix of the above

How would you describe a typical week for you?

Mostly predictable — similar days, regular rhythmMixed — some structure, frequent disruptionsHighly variable — rarely the same week twiceUnpredictable and demanding — I'm always reacting

What makes your life feel demanding right now?

Select everything that applies.

Long or irregular working hoursTravel, commuting, or time away from homeCaring for children or family membersManaging uncertainty — job search, transition, changeHigh mental load and constant decision-makingLittle time or energy left for myselfOther

If you have selected 'Other', please describe your situation.

In your own words, what is your main nutrition goal right now?

When does eating well feel most difficult for you?

If you have selected 'Other', please describe your situation.

How would you describe your eating on a typical demanding day?

How does the way you eat affect how you feel and function day to day?

Have you tried to change your eating habits before?

Yes, several timesYes, once or twiceI've made small changes but nothing structuredNo, this would be my first attempt

What have you tried previously? Select everything that applies.

Calorie counting or tracking app (e.g. MyFitnessPal)A specific diet or eating plan (e.g. low carb, intermittent fasting)Meal prep or meal delivery serviceWorking with a nutritionist or dietitianA nutrition or wellness programBooks or online resourcesTrying to eat better on my own without a structureOther

What got in the way? Why didn't those things stick?

What would make this programme worth it for you? What would a successful eight weeks look like?

Is there anything else you'd like me to know before I review your application — dietary restrictions, health considerations, scheduling constraints, or anything else that feels relevant?

Deep Health Foundation Program | Pilot Application

Your life right now

Your nutrition right now

What you've tried before

Readiness and fit