Your Name
*
Your Email
*
Your Phone Number
*
OK to send me booking notifications via SMS
How would you describe your current sleep pattern (check all that apply)?
I have trouble falling asleep
I wake up during the night and can’t fall back asleep
I wake up too early and can’t get more sleep
I sleep through the night but still feel tired
None of the above
On average, how many hours of sleep do you get per night in total?
How long have you been experiencing sleep difficulties (# of months/yrs)?
Have you ever been diagnosed with sleep apnea, restless leg syndrome (RLS), or another sleep disorder?
Yes – diagnosed and currently untreated
Yes – diagnosed and treated/stable
No
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Have you been diagnosed with any of the following? (Check all that apply)
Anxiety disorder
Depression
PTSD
Chronic Pain Issues
Seizure Disorder
None of the Above
Are you 100% sure you can make it at your chosen time? If you're unsure, it's better to pick another time now. We want to respect your time, please respect ours.
*
Yes, I've double-checked my calendar and can definitely make the time.
No, I prefer not to commit and will not book a time.
No elements found. Consider changing the search query.
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Review
I agree to terms & conditions provided by Path 2 Alignment. By providing my phone number, I agree to receive text messages from the business.
Terms & Conditions
I
Privacy Policy
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