What's next for your health, wellness, and personal evolution?
So you're ready for a shift! I'm glad you're taking your health and well-being seriously. I'd like to get a sense of what's going on in your life and what you'd like to see change, which this questionnaire is designed to provide.
Note: If you're a Willamette Valley local and you'd like to receive acupuncture and herbs with me, you need not fill out this form. Just call the office at (541) 757-4868 and we will set you up with an initial series of visits.