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Please use a few words to describe your breakfast, lunch, dinner. What you eat and what you like to eat:
Current Morning Weight:
Do you like your weight?
Your Ideal Weight
Do you have Risk Factors for
List Prescription Medications, OTC and Supplements:
When is the last time you felt healthy and thriving?
If you could wave a magic wand, what is the thing you wish for most in the arena of health?
Are you willing to make changes to your nutrition and lifestyle habits?
General Mood: Scale of 1 to 10 from Depressed to Exhuberant
General attitude towards life:
Exercise: How much do you exercise and how?
Sleep: Do you get 7-8 hours of sleep a night. If not, what keeps you from sleeping?