Take the SOPHIA Natural Health Center - Integrative Natural Medicine Health/Stress Survey

 How Healthy Are You?

Fill Out the Health/Stress Survey Below. On completion you will receive an Initial Consultation and Health Evaluation Screening for FREE! ($150 value)

 

Health Survey Sophia Natural Health

Please fill out the following health survey. Upon completion click the “Submit” button. INM (SOPHIA Natural Health Center) will keep your information in strict confidence. We never share or give out your information. Our consultant will contact you to book your free initial consultation and health evaluation.

STRESS SURVEY PURPOSE: To determine if any health problems you may be having are due to stress.

INM Health Survey

Check off any of the following symptoms you have experienced in the past 6 months:

Which of the previous conditions bothers you the most?

How long have you been bothered by the condition?

Describe how it feels or affects you when it is at its worst:

Does this cause you to be:

Does this affect your work:

Does this affect your life:

Any other health concerns?

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How healthy are you?

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