MystyMoon Wellness For Women
How old are you?
What is your occupation?
Please list your health concerns.
Other concerns and/or goals?
At what point in your life did you feel best?
Any series illness/hospitalizations/injuries?
How do you get your exercise and how often?
How is your sleep? How many hours?
Do you wake up at night?
How are your bowel movements? How many times per day?
How often do you have your menstrual cycle?
How many pads or tampons do you go through in one day?
What product do you use for sanitary napkins? Do you use pads or tampons?
How many days do you flow?
Are you taking any medication? If so, please list.
Are you using any type of birth control pills?
Are you taking any supplements? If so, please list.
From the best of your memory what kind of foods did you eat as child?
What is a typical meal for you on any given day? Breakfast, lunch, and dinner.
Do you crave sugar, coffee, or have any major addictions?
I ask this question with respect and an open heart.... what are your religious and/or spiritual beliefs?
If coaching with me, are you open to integrate a restorative yoga practice?
Anything else you would like to share?
Would you like to be added to my weekly newsletter for health tips and inspiration?
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