Session Prep — Strategy & Assessment
Help me prepare for our session by answering a few quick questions. Your responses will ensure our time together is as helpful as possible.
Thanks for booking your session. A few quick questions so I can prepare and make the most of our time together. If you're a returning client, feel free to keep it brief — just tell me what's changed since we last spoke.
Full name
*
First Name
Last Name
Email address
*
example@example.com
Phone number
Please enter a valid phone number.
Format: (000) 000-0000.
Which session did you book?
*
Please Select
60-Minute Personalized Strategy Session
120-Minute Comprehensive Terrain Assessment
Is this your first session with me, or are you a returning client?
*
First session
Returning client
Cancer type and stage
*
For example: Stage 3 colon cancer. If you're not sure of the stage, just tell me what you know.
Current treatments, medications, and supplements
List anything you're currently taking. Returning clients: you can simply note what has changed since we last spoke.
What are your main goals for this session?
*
The one or two things you most want us to focus on.
The one or two things you most want us to focus on.
Please send your labs, biopsies, scan results, and any other test results ahead of time through my secure file transfer so I can review them before we meet:
https://hushforms.com/prevailovercancer-secure-file-transfer
Have you sent your records through the secure link above?
*
Yes, I've sent them
I will send them before our session
I don't have records to send
Anything else you'd like me to know before we meet?
Submit
Should be Empty: