Discovery Survey to Start Your Journey

1

Name* This field is required.

First Name

Last Name

2

Email* This field is required.

example@example.com

3

What is your primary focus when it comes to your health and well-being?* This field is required.

(a) Managing current symptoms

(b) Preventing future health issues

(c) Understanding and addressing the root causes of health concerns

(d) A combination of all of the above

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5

How proactive are you in managing your health?

(a) I address health issues as they arise.

(b) I try to follow general health recommendations.

(c) I actively research and seek out ways to optimize my health.

(d) My health is a top priority, and I am very proactive.

6

How important is having more personalized attention and direct access to your doctor?* This field is required.

(a) Not very important

(b) Somewhat important

(c) Very important

(d) Extremely important

7

To what extent are you willing to invest in a healthcare model that offers more personalized attention, comprehensive wellness strategies, and direct access?* This field is required.

(a) I am primarily focused on minimizing healthcare costs.

(b) I am open to spending a little more for better care when needed.

(c) I am willing to invest in a healthcare model that aligns with my wellness goals.

(d) I prioritize high-quality, personalized healthcare and am comfortable with the associated investment.

8

How interested are you in exploring the underlying causes of your health concerns, rather than just treating symptoms?* This field is required.

(a) Not very interested

(b) Somewhat interested

(c) Very interested

(d) Extremely interested

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11

Phone Number

Please enter a valid phone number.