Women's Health History

Women's Health History

All of your information will remain confidential between you and the Health Coach.
Name:*

First NameLast Name
Email:*
example@example.com
How often do you check e-mail:
Home Phone:

Area CodePhone Number
Work Phone:

Area CodePhone Number
Mobile Phone:

Area CodePhone Number
Age:
Birthdate:

MonthDayYear
Date
Place of birth:
Current Weight
Weight six months ago:
Weight one year ago:
Would you like your weight to be different?
If so, what?
Social Information
Relationship status:
Where do you currently live?
Children?
Pets:
Occupation:
Hours of work per week:
Health Information
Please list your main health concerns:
Other concerns and/or goals?
At what point in your life did you feel best?
Any serious illnesses/hospitalizations/injuries?
How is/was the health of your mother?
How is/was the health of your father?
What is your ancestry?
What blood type are you?
How is your sleep?
How many hours?
Do you wake up at night?
Why?
Any pain, stiffness or swelling?
Constipation/Diarrhea/Gas?
Allergies or sensitivities? Please explain:
Are your periods regular?
How many days is your flow?
How frequent?
Painful or symptomatic? Please explain.
Reached or approaching menopause? Please explain:
Birth control history:
Do you experience yeast infections or urinary tract infections? Please explain:
Medical Information
Do you take any supplements or medications? Please list:
Any healers, helpers or therapies with which you are involved? Please list:
What role do sports and exercise play in your life?
Food Information
Breakfast
Lunch
Dinner
Snacks:
Liquids:
Will family and/or friends be supportive of your desire to make food and/or lifestyle changes?
Do you cook?
What percentage of your food is home-cooked?
Where do you get the rest from?
Do you crave sugar, coffee, cigarettes or have any major addictions?
The most important thing I should do to improve my health is:
What is your food like these days?
Breakfast:
Lunch:
Dinner:
Snacks:
Liquids
Additional Comments
Anything else you would like to share?
Print your name:

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