BluePhoenix Initial Health Assessment
This evaluation will give us a baseline of where you're health is right now. We'll use this same evaluation periodically to gauge progress or new areas for improvement.
TELL ME ABOUT YOURSELF
By learning more about you and your habits, I can take better care of you and ensure I'm coaching you in the best way for you to reach your goals.
Date Of Birth
Prefer not to say
STAYING IN TOUCH
Let's chat, shall we?
Skype (if applicable)
How Would You Prefer I Contact You? (check all that apply)
Skype/FaceTime/Other Video Chat
Other (please specify)
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