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What kind of work do you do?*

What are your top health concerns that you would like us to help you overcome?*

Why is this goal important to you, and what do you think is stopping you from accomplishing it?*

If you were to wake up tomorrow without this challenge, how would your life be different?*

Do you consider yourself coachable?*

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Do you have a supportive spouse, significant other, or friend to support your personal goals?*

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What are the characteristics that you value most in a professional partnership?*

Who else have you worked with?*

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What functional lab testing have you done previously?*

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Considering your past treatments, what would you like to improve or do differently moving forward?*

Are you willing to do what's necessary to reclaim your health? (This may include dietary modifications, functional lab testing, lifestyle and environmental modifications, etc)

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In your opinion, what makes you a good fit for our practice?*

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The Whole List Doctor

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