Reason(s) for visit (check all that apply)

What are you looking for most in a health care provider? (choose all that apply)

Listens to me without dismissing my symptoms

Looks at the big picture (holistic approach)

Collaborates with me to help me make the best health decisions for my circumstances.

Looks for the root causes of my medical problems instead of just addressing my symptoms

Do you have any questions that you want to be sure we address when we speak?

To ensure we spend time and attention with all of our patients, we are only able to accept new patients who are ready to transform their health. Are you ready?

Yes, I’m 100% ready to take charge of my health.

Maybe — I need a little more information.

No, I’m not ready right now, just inquiring