New Client Questionaire Additions

How many hours of sleep do you get per day?
Are you up at sunrise?
Do you avoid fats?
Do you take any of the following medications?

• Statin
• Premarin
• Synthroid
• Prilosec
• Hydrocodone
• Norvasc
• Glucophage / Metaformin
• Albuterol
• Claritin
• Prozac/sleeping pills.

How many oz. water do you drink per day?
Rate your stress level 1-10 (list sources of stress)