The PCOS Insulin Reset Method

Client Intake Questionnaire

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Do you have any diagnosed medical conditions? Please list

Are you currently taking any medication? Please list

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What health goal would you like to achieve?

How motivated on a scale of 1-10 are you to do something about this right now?

What obstacles and challenges have stopped you from doing this in the past?

Is there anything I should know about you to help you get the results you want?

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