We’ve received your payment.

In order to make our time together as valuable as possible, please answer the following questions pertaining to your health.

This will help me better understand which of your system(s) are having issues and make our time together as valuable as possible.

Once you complete the questionnaire, you will be taken to the booking page to schedule your appointment.

7 Systems Plan Consultation Questionnaire

9. Do you struggle to lose weight?(Required)
9. Do you have digestive problems, constipation, or acid reflux?(Required)
10. Do you have cravings for or eat food that is not good for you?(Required)
11. Do you have high blood pressure or high cholesterol or take medications for them?(Required)
12. Do you struggle with low energy?(Required)
13. Do you have hormone problems, low sex drive or sleep problems?(Required)
14. Do you have inflammation, joint pain, or auto immune disease?(Required)
15. Do you have brain fog, unexplained muscle pain or ringing in the ears?(Required)