Creative Explorations
Services
Journeys
About
Good Reads
Happiness Compass Workshop
Contact
More
Women’s Confidential Health History
Please write or print clearly and fax to: 631.204.6664
Important information we need to know:
How often do you check email?
Telephone:
Your details:
Do you experience yeast infections or urinary tract infections? Please explain:
Any healers, helpers or therapies with which you are involved? Please list:
What foods did you eat often as a child?
What’s your food like these days?
Will family and/or friends be supportive of your desire to make food and/or lifestyle changes?
The most important thing I should change about my diet to improve my health is: