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What is your main health complaint?

How often does it bother you?

How long has it been going on?

What (or who) would prevent you from completing a health-rebuilding program?

What is your current diet like? Please be specific: List breakfast, lunch, dinner, and snacks as while as times you eat.

What would you like your health to be 3 months from now? 6 months from now?

What obstacles, challenges, and struggles do you face regarding diet/lifestyle?

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If we were to work together, what would you expect to achieve?

What are 5 things you LOVE about your life?

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