Congratulations on taking this step toward better health for you and your family!
Welcome to the Healthy Family Formula Health Coaching! I am honored and very excited to be working with you and your family on your road to better health.
As you can see, the intake process is quite detailed and extensive. Do not be daunted! It is very important that I receive as much information about you as I can in order to deliver the best resources possible.
Please fill out the following questionnaires and forms to the best of your ability. They will take 30+ minutes to fill out, so please do set aside some time to complete them. Please be as honest as possible with your answers. I know it is difficult to admit to eating chocolate bars for breakfast (I have done that!) or that you have some kind of itch in a private area (no comment), but those details may be the very ones that are the keys that unlock your success to regaining your health. They will also provide us with a baseline so we can see how very far you and/or your family will have come!
The answers you provide are confidential and are used for informational purposes for the HFF, alone. There is no judgment here, and the more accurate picture we have of your unique situation, the better able I will be to give you the information you need to find the underlying causes of your current state of health and subsequently address them. In addition to this form, please fill out and return to me the additional attachments except the Blocking Factors Checklist, Eat Sheet, and Creating a Health History Timeline as they are for your information only. The My Why is a form but does not need to be returned to me, although I do encourage you to fill it out, as well.
HFF_Creating_a_Health_History_Timeline
HFF_Blocking_Factors_Checklist
If you are filling out these forms for a child or teen, please use your own words only completing the sections you think are relevant or know the answers to. There are additional questions for parents at the end.
**Please also send me all recent lab results, as well.
Once complete, you can return all documets to me via the dropbox folder I will create for you. You will receive the link ASAP if you have not received it, already. If you have not used dropbox before, I assure you it is very easy. Simply click on the link, then drag and drop your documents into the folder.
If you have any trouble, let me know by emailing [email protected]!
OK, let’s get started!
Warmly,
Revolutionary Mama,
Carla.