I, blanks give consent to be treated with care usingnatural ways of remedying the body
Do you have any pets? blanks If so, what type and how many?blank
How many hours of sleep do you get nightly blanks How many hours of sleep do you feel you need to feel rest the next day? blank How many times a night do wake up? Type a label Is there a reason for waking up? (to go to the bathroom, hearda noise, baby, etc.)
How much do you weigh? blanks What is your ideal weight?blank Have you lost or gained more than 10 pounds in the last 6 months, if so, why? Type a label