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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