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What are your top 3 health goals? Please be detailed.*

Are you currently following a plan (specific diet, workout regimen, commercial product line, etc)? If not, please describe your current diet and lifestyle.*

Do you have any limitations or obstacles that may affect the plan of action?*

Have you ever worked with a Nutrition or Functional Practitioner before?*

What did you work on? How was the experience/result? Are you still working with them?*

Are you currently under medical care for any conditions? Please list any medications, procedures, or prescribed supplements you're currently taking and what for.*

Are you currently looking for a professional to help you with your health concerns?*

This type of work takes time. It can be done with ease, but it doesn't happen overnight. How willing/able are you to invest the time, effort, and money into yourself for the next 3-6 months (or more)?*

How did you hear about/find me?*

What time zone are you in? *

Anything else you'd like to share?

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