Take a moment to answer these questions before your meeting with a Health Educator at WesWell. We ask that you fill this out at least 24 hours before your scheduled appointment so that we have time to assess the information. Please fill in your name and answer the questions honestly. Specific recommendations will be prepared for you by a Health Educator based on the answers you provide on this form. If you have any questions about your appointment please call WesWell at 860-685-2466.