Level 2 Consultation

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Name
First Name
Last Name
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Email
example@example.com
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Phone Number
Please enter a valid phone number.
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What is your current issue you want help with?List all Current Health issues
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Do you have any pain?If answer is no skip to question # 6
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If so, how bad is it on a scale of 1-10?
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Is your pain constant or intermittent?
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Anything in particular that you feel may trigger the pain?
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What are your current health symptoms?
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Current weight?
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Height?
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Where do you live?
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What is your current eating habits?
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Favorite Foods?
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What time do you eat breakfast, lunch, and dinner, approximately?
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What brands do you like?
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Stores you like to shop at?
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What kind of water do you drink?
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Type a question
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Amount of water that you're drinking per day?
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Any restrictions on the amount of water you can drink? If answer is no skip to question #19
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If so, what are they?
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Current medications, if any?
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Are you currently taking any vitamins or supplements?If answer is no skip to question #22
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If so, which one's (name and brand please)?
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Any surgeries, day procedures, kemo, radiation, or keytruda?
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If so, what kind did you have and when?
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Do you smoke?If answer is yes skip to question #26
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Are you around smoke?
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When was the last time you went to the doctor?
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When was the last blood panel you did?
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If recent, within the last ninety days, may we have access to see it?
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Do you have a support team?If answer is no skip to question #31
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Is it so can they join us at your zoom meeting?
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Do you have any health goals?If so, what are they?
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Please select the best time to meet* This field is required.
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ORDER SUMMARY
Total costUSD
Level 2 - Our premium health consultation$499 Time: 2:30-3 hrs Zoom Follows up: 4 Detailed plan outlining their next 30 days cleanse. A sample grocery list of what to Buy. 2 recipes on how to make gluten-free, dairy free meals. Designed for those seeking comprehensive support on their health journey. For $499, you’ll receive a 2.5 to 3-hour Zoom session where we thoroughly evaluate your health needs. This package includes a personalized 30-day cleanse plan, a detailed grocery list, and two gluten-free, dairy-free recipes to help you transition smoothly into healthier eating. With four follow-up sessions included, we’ll be there to guide you every step of the way, ensuring you stay on track and make lasting changes for better health.
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Last Name
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