Personal Details
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Health Narrative
What are your health concerns/challenges that you wish to address?
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How long have you been dealing with these issues?
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Select an option
What have you already tried
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Why are you seeking help at this point in time?
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If you are interested in Tapering Support please provide information regarding your current and past medications, any complications or relevant details. What are your goals and what have you tried? Do you have a supportive prescriber?
Goals & Commitment
*What would success look like for you in the next 3–6 months?
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On a scale of 1–10, how committed are you to making lifestyle changes?
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Are you open to investing in professional guidance if it’s a good fit?
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Not sure
What is your preferred next step?
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