Health & Wellness Checklist

Please complete this form so Tiffany can have a better understanding of your health and be able to give you the best feedback for building and sustaining healthy habits.
  • MM slash DD slash YYYY
    (check all that apply)
    (continuously moving your body for 15+ minutes)
    (Just coffee does not count)
    (A serving is: 1 cup fresh, 1/2 cup cooked, 1 medium fruit or 3/4 cup juice

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