Health Goals and Objectives

Health Goals & Objectives
Welcome to Fresh Fit Consulting!

Before we connect, we would like to understand what brings you to FFC and what kind of care experience you are looking for. Your answers shape how we approach your first conversation.
Patient Name

First NameLast Name
Patient Date of Birth

MonthDayYear
Date
In your own words, what is the primary concern that brought you to FFC today?
How long have you been dealing with your primary concern?
How does your primary concern affect your daily life, and how much of a priority is addressing it for you right now?
Have you seen other physicians for this concern previously?
What approaches, testing, treatments, or medications have you tried for this concern that did not produce the results you were looking for?
When it comes to your healthcare, which of the following sounds most like you?
How do you prefer to engage with your physician? Select all that apply.
Which approach sounds most aligned with what you are looking for?
Is there anything else you would like us to know?
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Health Goals & Objectives