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Lisa Leonard
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ABOUT
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Personal Lifestyle Profile
Name
Email
Emergancy contact/relationship to
Phone
Birthday
Physician - contact
What are your wellness goals?
List all medications/suppliments you are taking.
Past/present allergies, illness, injuries, surgeries or tramas
Recreation, excersise habits, hobbies
Pregnancy history. Genetic disorders
Sleeping habits - duration, postion(s), waking, mattress/pillow age
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