Coaching Weekly Survey

  1— Overall quality of Sleep    1 2 3 4 5 6 7 8 9 10 sleep efficiency Hours (laying down ratio to sleep amount) _______ feeling rested upon awakening  1 2 3 4 5 6 7 8 9 10 up in middle of night  y/n have to pee how many times per night     0 1 2 3 bedtime hours  go...

Daily Wellness Daily Journal

Date Schedule (what time did you do these things): wake up breakfast lunch dinner exercise type time of day amount cold thermogenesis time of day, amount of exposure, type of exposure, temperature bedtime artificial light exposure? EMF exposure? Toxic chemicals...

Paleo Coaching Intake Form

Name Age Height Weight What kind of exercise do you do/how often? What are your favorite hobbies/ things to do?   Medications   Supplements   Health concerns and conditions         Dental Health and do you currently have mercury amalgams?   Typical diet   Breakfast  ...

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