Please fill out our Wellness Assessment below! Click here for Wellness Assessment Wellness Assessment Religious Preference * Non-Denominational Catholic Jewish Christian Buddhist LDS Other How often do you attend a service or meditate? * Daily Weekly Monthly Annually Occasionally Other Please write a brief summary of what brings you into Alternative Therapy People and Pets * Please describe what you are trying to accomplish * Physical Health * (1-10 with 10 being the greatest) 1 2 3 4 5 6 7 8 9 10 Mental & Emotional State * (1-10 with 10 being the greatest) 1 2 3 4 5 6 7 8 9 10 Intimate Relationships * (1-10 with 10 being the greatest) 1 2 3 4 5 6 7 8 9 10 Social Connection * (1-10 with 10 being the greatest) 1 2 3 4 5 6 7 8 9 10 Purpose and Mission * (1-10 with 10 being the greatest) 1 2 3 4 5 6 7 8 9 10 Spiritual Connection * (1-10 with 10 being the greatest) 1 2 3 4 5 6 7 8 9 10 Financial Wellness * (1-10 with 10 being the greatest) 1 2 3 4 5 6 7 8 9 10 Personal Growth * (1-10 with 10 being the greatest) 1 2 3 4 5 6 7 8 9 10 Nutrition * (1-10 with 10 being the greatest) 1 2 3 4 5 6 7 8 9 10 Digestion * (1-10 with 10 being the greatest) 1 2 3 4 5 6 7 8 9 10 Exercise and Lifestyle * (1-10 with 10 being the greatest) 1 2 3 4 5 6 7 8 9 10 Internal and External Toxicity * (1-10 with 10 being the greatest) 1 2 3 4 5 6 7 8 9 10 Anything else we should know? Thank you for submitting your Wellness Assessment!We will be reaching out to you shortly!Regards,Alternative Therapy People and Pets
