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Is your health important to you?
Yes No

If you are healthy, what are you doing to maintain your health?

If you are not healthy, what are you doing to get healthy?

Are you using natural products and natural remedies to help you with a health condition?
Yes No

Have you read any natural health books?
Yes No

What have you learned about your health and body?

What are the bad health habits you would like to eliminate?

What are your good health habits?

What are some good health habits that you would like to acquire?

Are you taking any supplements?
Yes No

If you are taking any supplements, what are they and are they working for you?

Are you taking any prescription drugs but would like to one day stop?
Yes No

Were you taking a prescription drug for a particular ailment and the side effect from taking the drug was worse than the ailment?
Yes No

Would you like to use natural products and natural remedies but are not using them because of what other people might think of you?
Yes No

What types of Complementary or Holistic Practices have you successfully explored and utilized?

What has been your method of locating information and Practitioners?

Would you appreciate an access source for finding Complementary Practitioners, products and services that are available in your area?
Yes No