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Level 3 Consultation
Hi there, please fill out the following questions with as much details as possible for us to help.
37
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1
Name
First Name
Last Name
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2
Email
example@example.com
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3
Phone Number
Please enter a valid phone number.
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4
What is your current issue you want help with?
List all Current Health issues
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5
Do you have any pain?
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6
If so, how bad is it on a scale of 1-10?
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7
Is your pain constant or intermittent?
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8
Anything in particular that you feel may trigger the pain?
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9
What are your current health symptoms?
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10
Current weight?
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11
Height?
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12
Where do you live?
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13
What is your current eating habits?
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14
Favorite Foods?
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15
What time do you eat breakfast, lunch, and dinner, approximately?
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16
What brands do you like?
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17
Stores you like to shop at?
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18
What kind of water do you drink?
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19
Type a question
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20
Amount of water that you're drinking per day?
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21
Any restrictions on the amount of water you can drink?
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22
If so, what are they?
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23
Current medications, if any?
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24
Are you currently taking any vitamins or supplements?
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25
If so, which one's (name and brand please)?
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26
Any surgeries, day procedures, kemo, radiation, or keytruda?
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27
If so, what kind did you have and when?
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28
Do you smoke?
If answer is yes skip to question #26
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29
Are you around smoke?
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30
When was the last time you went to the doctor?
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31
When was the last blood panel you did?
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32
If recent, within the last ninety days, may we have access to see it?
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33
Do you have a support team?
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34
Is it so can they join us at your zoom meeting?
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35
Do you have any health goals?
If so, what are they?
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36
Please select the best time to meet
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37
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ORDER SUMMARY
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Level 3 - The ultimate health transformation package
a comprehensive, in-depth consultation spanning up to 5 hours, broken into multiple Zoom sessions, and includes seven follow-up appointments. This mega deal offers a personalized binder or e-file packed with information tailored to your unique health situation. You’ll receive a detailed 30-day cleanse plan, an eating lifestyle guide for after the cleanse, five starter recipes, and advice on skin care, home cleaning, and natural purification for your living spaces.This package also dives deep into mental, physical, and spiritual wellness, with tips on creating a positive internal and external environment. The guidance ensures your space and life are optimized for holistic well-being, with immune-boosting herbs and strategies for keeping your home naturally clean. With this level of service, you’ll gain actionable insights to support your health journey in all areas of life.Note: This process may take 2 to 3 weeks to complete fully.
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