OM Seattle Acupuncture Chinese Medicine Reya Born
Medicine to Match Your Brilliance | Soundbite Seattle Acupuncture Chinese Medicine Reya Born
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OM Seattle Acupuncture Chinese Medicine Reya Born
Medicine to Match Your Brilliance | Soundbite Seattle Acupuncture Chinese Medicine Reya Born
Donations
Accessibility
OM
Schedule
Connect
Patient Info
Patient Portal
Welcome Letter
Resources
Articles
Apothecary
Name
*
First Name
Last Name
Email
*
What is your main objective or goal for this food therapy consultation?
*
Please share with me an average day of eating
*
Tell me what you eat for breakfast, lunch, dinner, snacks and drinks on an average day.
Are there foods that you avoid for physical, emotional or moral reasons?
What foods to you absolutely love and do not want to go without?
What type of diet or supplement changes have you made in relation to your said "objective".
Ex: I have indigestion so I stopped drinking milk or I have low blood sugar so I started eating more frequent meals.
If you have made changes, are they helping? Do you notice a difference?
What are some factors that may make it more difficult to make changes around eating.
Family Needs
Work Schedule
Money
Habitual Patterns
Lack of information
Too much information
Other
If you checked any of the above boxes, please tell me a little more...
At what level to you want to engage with food therapy?
Full overhaul
Daily shifts
A few new options specific to my objective
Help me filter through information
If you were to design your own food therapy program, what would it be. Let me know as much detail as possible. Create this with your present level of food knowledge, body awareness, what works for you, what doesn't. In your ideal world, how would you be feeding yourself daily? Map out a daily plan. What would you need to do to set yourself up for success? Weekend shopping? Meal prep? Special meals with friends?
Thank you! I will go over your answers and we will discuss at your Food Therapy appointment.
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