For the following symptoms, please select the most appropriate response based on these options:
0 = Never feel this symptom1 = Feel this symptom 1-2 times per month2 = Feel this symptom weekly3 = Feel this symptom daily
0 = Does NOT apply to me10 = Does apply to me
After completing required intake forms (Integrative Health Intake Questionnaire. Integrative Media Consent, Release and Waiver. Integrative Health Practitioner Policy. Integrative Health Toxicity Quiz) please visit www.vytalitymn.com to book an “Integrative Health Consult” with Kierstin, RN/IHP.