Success Health Coach - Expertly grow your health and wellness practice successfully and stress free
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Because of  Rejuveo:
I am back on track meaning I am back in the kitchen, planning ahead and seeing new ways to nurture and nourish myself through food and self care
I am back “on the wagon” meaning I have eliminated  unhealthy and addictive habits
I am back “on the treadmill” meaning I am back to consistent exercise
I feel empowered, more energetic and more clear headed.

Thank you so much for this wonderful program!

—Phyllis Childers, RN

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    Please fill this out thoroughly and completely so I can prepare for our appointment tomorrow. I'm looking forward it!

    Your Name (required)

    Your Email (required)

    Date MM-DD-YYYY
    What positive changes have you noticed since your last session?

    Of the things we discussed, what steps have you been able to complete? How did that go?
    What steps still need to be done? What is stopping you from taking those steps?

    What are your key questions for this session?

    # hours sleep last night
    Is this typical? Please describe your current sleep patterns.

    How is your digestion and bowel movements? Any change? Please describe in detail.

    Since we last spoke, any emotional situations?

    How much do you weigh today?

    Are you cooking more?
    YesNo

    Typical breakfasts (anything to note?)

    Typical lunches (anything to note?)

    Typical Dinners (anything to note?)

    What do you snack on?

    How much liquids do you drink and what are they?

    Thank you!