PRIVATE COACHING APPLICATION

PRIVATE COACHING APPLICATION

BACKGROUND

What undesirable symptoms are you experiencing?

Beside each bullet point below, rate your experience of the following on a scale of 0-3 (0=not present, 1=mild, 2=moderate, 3=strong):

DIET

LIFESTYLE

Are you regularly exposed to any of the following at home or at work?

IF YOU ARE FEMALE

just ignore if you are male and skip ahead

MORE BACKGROUND

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