New Clients – Adults Intake Questions

You can submit the new client form online, or if you prefer, you may download and print the form below:

New Client Form (PDF) (Word)

  • Please enter a value between 0 and 110.
  • How much do you move each day? What activities do you enjoy? How many times do you exercise each week?
  • How much water do you drink each day? What is the source?
  • How much attention to you pay to fresh and local whole foods? What is the overall quality, beauty, vibrance of the food you eat?
  • What types of information best feeds your interest, your spirit, your passion? Are you currently learning something new?

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