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Premier Private Consultation

 Thank you for your interest and congratulations on your choice to go down an extraordinary path to health!

After 40 years in the health field, I can narrow in on blocks and causes and guide you on correcting lifestyle, diet, exercise, mental and emotional observances, and/or spiritual suggestions.  I can do this effectively if I have a history and detailed answers to important questions.

Please fill out the questionnaire with the most accurate details as you can.  I appreciate it and it will help me help you!

As soon as I receive payment and questionnaire, we can schedule your consultation.

Please note consultations are scheduled out at a minimum of 72 hours from completion of paid consultation.  

I will do my best to stay the course of your goal, but will identify where I see the issues and navigate the consultation according to your desires.  

I do not treat, cure, prescribe, or diagnosis. 

I look forward to meeting you SOON,

Dr. Kimberly LeHew

Thank you for taking the time to accurately and to your best ability answer the following questions. Click the button below to start.

Start

Question 1 of 12

Please describe your top health concern.  Please tell me in detail and be sure to include the following.  (when it started or when you first noticed it, what symptoms you experienced, and how long and frequent the symptoms have been occurring)

Question 2 of 12

Have you seen a doctor for this concern?  If so, when?

Question 3 of 12

What have you tried so far to resolve this concern? (what, how often, success)

Question 4 of 12

When was your last physical?  Was anything abnormal or brought to your attention as a concern?

Question 5 of 12

How would you describe your bowel movements?

A

1 a day

B

1 every 2-3 days

C

2 to 3x a day

D

Changes too much

Question 6 of 12

Are you taking medications or supplements?  (specifically list, how much, and how often)

** please list last 5 years 

Question 7 of 12

Have you ever completed a cleanse, fast, or detoxification program?  If so, when, where, how long, and outcome.

Question 8 of 12

Please list any surgeries, vaccines, injections, or invasive procedures.  (month and year)

Question 9 of 12

How would you describe your emotional wellness on a scale from 1-10?

1 severe/unstable------10 amazing/stable

Can you describe why you choose the number?

Question 10 of 12

Are there any lifestyle habits that you would like to change?

Question 11 of 12

Is there anything pertaining to your whole health that you think I should be aware of?

Question 12 of 12

How would you describe your spiritual health?

Confirm and Submit