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About Us
FAQs
Schedule Your Class
Testimonials
Supplement

Home
About Us
FAQs
Testimonials
Schedule Your Class
Supplement
Contact Us

Home
About Us
FAQs
Testimonials
Schedule Your Class
Supplement
Contact Us

Identifying Your Personal Optimal Health Goals

Don’t know where to start on your wellness journey? Take this health assessment questionnaire to get guidance from our community straight to your inbox.

Name

If there was one thing you could change about your health today or prevent in the future, what would it be?

Leave a checkmark next to the areas which are a concern to you

Energy Healthy sleep Weight loss or weight gain Sense of wellbeing (Stress, Anxiety, Depression) Joint/ligament flexibility (Carpel Tunnel, Arthritis, RA, Orthopedic, etc.) Pain / Inflammation Blood sugar maintenance Heart health (Blood Pressure, Cholesterol Levels, Vascular, Clotting, Circulation) Respiratory health (Asthma, Allergies, Sleep Apnea, etc.) Digestive health (Acid Reflux, Ulcers, IBS, Crohn's, Colitis, etc.) Muscle health (Gout, Cramping, Restless Leg) Healthy immune function (Colds, Flu, Autoimmune Diseases)

Other health concerns not stated above:

Do you take Vitamins or Herbals of any kind?

Are you under the supervision of any Health Professional?

Do you take prescription medication?

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