Health Intake Form (Pre-Program)

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Your growth in The Shift: A 12-Week Conscious Medicine Program to Revolutionize Your Health is our top priority. Your answers will determine the intent of the live sessions, and the more we understand your challenges and desires, the more we can give you the support you need.

This intake form also serves as a baseline for you to be able to track your progress, as you will fill out this same for again at the end of your 12-weeks.

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