Success Health Coach - Expertly grow your health and wellness practice successfully and stress free
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This class gave me a much better understanding of body systems, how and why clean eating works, and clears up much mis-information about “healthy” foods. I’ll continue to study and learn more as I lower sugars and find more balance in my foods. —Eric W

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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!