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Men’s Health History
Women’s Health History
Please note that all of the information you provide in this form will remain confidential between you and the Health Coach.
What positive changes have you noticed since your last session?
What are your main concerns at this time?
Any changes with weight?
How is your sleep? (copy)
Constipation or diarrhea?
How is your mood?
Are you cooking more?
What foods do you crave?
What is your diet like these days?
Anything else you would like to share?