Questionnaire

1. Check The Symptoms You Experience (Select All That Apply):
2. Which Of The Following Are You Wanting To Help Increase In Your Life? (Select All That Apply):
3. Which Of The Following Are You Wanting To Help Decrease In Your Life? (Select All That Apply):
4. Over The Last Year, What Have You Done To Maintain A Healthy And Fit Lifestyle? (Select All That Apply):
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