Health Coaching with Sharon Lees
What positive changes have you noticed since your last appointment?
What are your main concerns at this time?
Any changes with weight and/or waist size?
How is your sleep?
Constipation or diarrhea? Gas or bloating? Which?
How is your mood?
Is your energy level higher or lower lately?
To what do you attribute this energy level?
Are you in any pain on a regular basis? Please describe.
If this is ongoing pain, is it better, same, or worse than before?
Are you receiving good support from those around you for the changes you are making?
Are you taking all supplements consistently? Any concerns?
What do you see as a significant barrier to you making more/faster progress toward your health goals?
Are you cooking more?
What do you crave?
What are you doing or feeling when you crave?
Please use this scale to rate the frequency and severity of symptoms you have experienced over the past two weeks. If multiple choices are given, please specify what applies in the comment column.
Excessive mucus formation
Gagging or frequent need to clear throat
Sore throat, hoarseness, or loss of voice
Swollen or discolored tongue, gums, or lips
Chronic tooth or gum pain or jaw pain. Which?
Hives or other allergic breakout
Rash or persistently dry skin
Flushing or hot flashes
Frequently feel cold
Part of body frequently feeling numb. Which?
Irregular or skipped heartbeat
Rapid or pounding heartbeat
Shortness of breath
Nausea or vomiting
Passing gas, flatulence
Intestinal or Stomach pain. Which?
Other pain in GI tract? Where?
Pain or aches in joints
Stiffness or limitation of movement
Pain or aches in muscles
Tremor or restless leg
Feeling of weakness or tiredness
Craving certain foods
Confusion, poor comprehension
Poor concentration or focus
Poor physical coordination
Difficulty in making decisions
Stuttering or stammering
Anxiety, fear, nervousness
Anger, irritability, aggressiveness
Other mood challenges?
Frequent or urgent urination
Inability to urinate or low urine flow
Low libido or other sexual dysfunction
Genital itch or discharge
Women: Breast fibroids
Women: Painful or tender breasts
Women: Uterine fibroids