Success Health Coach - Expertly grow your health and wellness practice successfully and stress free
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In your Eating to Restore Balance group I learned a LOT on how food truly works. It was great! I’m looking at everything I put in my body differently than I have ever looked at it before.

I’m sure this is a lot of stuff I will have questions about in the future—that’s why you and Greg are here. Thanks! —SS

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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!