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Questionnaire for 90 days Discovery Session 1

For me to serve you better and to make our time together even more productive, I will ask you to fill out the following questions the best way you can at this particular moment in your life.
Only 8 questions

*ALL the information will kept confidential 

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Start

Question 1 of 8

1.     What is your main overall health concern?

Question 2 of 8

2.     What have you done in the past, if any, to work on this health concern? (Include both alternative and/or traditional modalities)

Question 3 of 8

3.     What has proven effective?

Question 4 of 8

4.     What is your current stress level? Please be specific

Question 5 of 8

5.     What would you like your health to be 30 days from now? How about 90 days from now?       
*How would you feel if you got this result?

Question 6 of 8

6.     What obstacles, challenges, and struggles do you come up with regarding lifestyle/relationships?

Question 7 of 8

7.     What do you intend to get out of our time together?

Question 8 of 8

8.     What are 5 things you LOVE about your life?

Confirm and Submit