The collection of the following information is intended to provide an overview of your health and to help inform the development of your customized wellness plan. All information is confidential and will not be shared without your expressed written consent. Please set aside 20-30 minutes to complete this questionnaire. All new clients must complete and submit a completed questionnaire at least 24 hours prior to their scheduled appointment. All information provided will be reviewed with each client during their first appointment. Thank you for taking the time to provide this information, we look forward to meeting with you!