Wufoo

Questionairre

How would you describe your overall health and energy? Do you experience a low and/or high point of the day? If so, when?
How is your digestion?
How is your sleep? How much do you sleep?
What do you most want to heal about your body?
Do you have any chronic pain? If so, please describe.
Do you have allergies? If so, please describe (ie: food, time of year, pollen, dust…).
Have you had any major surgeries or hospitalizations?
Are you in the first trimester of a pregnancy or trying to get pregnant?
Have you had a recent stroke or heart attack?
Is your blood pressure unstable?
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