would You like your weight to be different? If So, describe how:
Please List Your Main Health Concerns:
At what point in your life did you feel your best?
How is your sleep? How many hours? Do you wake-up at night? If so, why?
Any pain, Stiffness or Swelling?
Any Allergies or Sensitivities? Please explain
Please describe your cycle. Regularity? Length? Frequency? Approaching or Reached Menopause?
Please list supplements or medications you take:
Please list healers, practitioners or therapists with whom you're working:
What role do sports and exercise play in your life?
What is your food intake these days? (Please describe examples of breakfast, lunch, dinner, snacks)
What percentage of food is home cooked?
The most important thing to do to improve my health is:
Anything else you would like to share?