Discovery Questionnaire

Let's have a Meet & Greet!

We’ll chat for 10–15 minutes so I can learn a bit about what health challenges you’re navigating.

I’ll share how I’d approach your unique health picture and what root causes we’d likely explore together. It’s a space to share and to see if we’re a match!

Please complete this brief questionnaire so we can maximize our time together on the call.

First Name *

Last Name *

Email *

Phone *

Are you 18+ years? *

Do you live in the U.S./Canada? *

Yes

Do you live in the states FL, TN, or SC? *

No, I live in a different state or province

Yes, I live in FL, TN, or SC

Which state or province do you live in? *

What are your biggest symptoms or diagnoses you are wanting help with? *

How long have you had symptoms? *

Have you seen any health practitioners for help? Check all that apply. *

Where did you hear about me? *

My work number will show up as a 479 area code from Arkansas, at the time of our call. You will receive a confirmation text once your appointment is scheduled.

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