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What is your main health concern? *

What have you done in the past to work on this health condition? (Include both alternative and traditional modalities) *

What has proven effective? *

What is your current diet like? Please be specific; list breakfast, lunch, dinner, and snacks, as well as the times you eat. *

Are you taking any supplements? Please list what you take and what it is for? *

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? *

What obstacles, challenges, and struggles do you come up with regarding diet/lifestyle? *

What do you do to manage stress? Does stress ever affect your sleep? *

What do you hope to get out of our time together? *

What are 5 things you LOVE about your life? *

Are you 100% invested in yourself? *

I'm 100% ready to invest in myself right now I'm just looking for information, I'm not fully committed to change yet.

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