Health Measures Questionnaire

balancing elephants breathing coach Stephanie esser

Health Measures Questionnaire
 
Please complete this form before your first session so that we can customize the experience to meet your personal goals. 
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Stress level
Pain (i.e. low back)
Energy
Sleep
Mood (anxiety)
Cravings
Neck/Shoulder Discomfort
Mental Clarity/Memory
Digestive Issues
Endurance
Blood Pressure
Difficulty Breathing

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Help your child learn how to manage stress and improve
focus skills with the BE Buddy® – a mindful tool to help 
kids breath well to BE Well

Help your child learn how to manage
stress and improve focus skills with the
BE Buddy® – a mindful tool to help kids breath well to BE Well

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