Thank you for your interest in Momentum, our clinician-led lifestyle program for type 2 diabetes prevention and management.

Before enrolling, we ask all prospective participants to complete a short screening questionnaire. This helps us determine whether the program is safe, appropriate, and well-matched to your current health status and goals.

The screening allows us to:

• Confirm eligibility and safety

• Identify any considerations that may affect your participation

• Begin tailoring recommendations if you proceed

The form takes just a few minutes to complete. Your responses are confidential and will only be used by our clinical team to guide your next steps.

We take your privacy seriously. Your information will be stored securely and used to:

assess your eligibility and safety for Momentum; and

administer the Momentum Giveaway (if you choose to enter); and

send you the communications you have opted in to receive.

We do not sell your information and will not share it with third parties without your consent, except where required by law. You can unsubscribe from marketing emails at any time.

Privacy Policy: https://www.thenourishmenthub.com/privacy-policy

If you have any concerns, please contact us at jack@thenourishmenthub.com