A little history please...
Before we have a first meeting it helps for me to understand what your needs are, what you have done so far and whether I can help you.
Email address *
How did you find out about me? *
What is your full name? *
Your answer
What is your main complaint? *
Your answer
How long has it been going on? *
What have you done about it? *
Your answer
How does it affect your daily life? *
Your answer
Why does it bother you? *
Your answer
Is there anything in the way of getting you healthy? *
Your answer
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