Thank you for taking the time to fill this out. Please submit the completed form to me prior to you [Total body breakthrough session]. (All information will be kept confidential.)1. What is your major health concern?2. Alternative and traditional modalities you've used?3. What has proven effective?4. Snacks, as well as the times you eat?5. Are you taking any supplements? Please list what you take and what it's for.6. What you would you like your health to be 30 days from now? How about 90 days from now? How would you feel if you got this result?7. What obstacles and challenges do you come up with regarding diet/lifestyle?8. What do you hope to get out of our time together?9. What are 5 things you LOVE about your life? This iframe contains the logic required to handle Ajax powered Gravity Forms.