How is this problem impacting your daily activities (this might include things like your physical comfort, mood, sleep, job, relationships, or overall happiness) *
Your answer
What are the most important changes you’d like to make, or goals you’d like to achieve? (this might include things like pain reduction, resuming certain activities, expediting recovery, etc) *
Your answer
What have you already tried? *
Your answer
What resources and support systems do you have to help you with your healing? *
Your answer
What additional challenges are you facing right now related to your health and life situation? *
Your answer
How committed are you right now to improving your health and wellbeing? *