Questionnaire What is your main health concern? What have you done in the past to work on this health condition? What has proven effective? What would you like your health to be like 30 days from now? 90 days from now? How would you feel if you got this result? What obstacles, challenges, and struggles do you come up with regarding diet/lifestyle? What do you hope to get out of our time together? What are 5 things you LOVE about your life? Name * First Name Last Name Email * Number * Thank you!