Coherent Body Quiz
Let's see if this work is a good fit for you
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Name *
Email *
Can you get up and down from a chair without assistance? *
Can you walk for 30 minutes outside without getting out of breath? *
Are you hypermobile?
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Do you have recent (less than 3 months old) nerve pain that is impeding your normal daily function?  *
How difficult has it been for you to find a solution to your embodied stress? *
Have you tried at least 2 of any of these practices? Check all that apply. Note: "Tried" means at least 2 sessions.
Are you familiar with the work of any of these people? 
Why are you looking for help? Is there an event or situation that's changed your motivation to reach out for help? *
Have you been diagnosed with a psychiatric condition that requires current medication?  *
If you are taking psychiatric medication, are you working with a psychotherapist in addition to your psychiatrist? 
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In conclusion, what is the most important problem you're hoping Coherent Body can help you solve? *
Do you want me to contact you in the next week to set up a time to review your current situation? In this session, we'll find something quick and easy that will create a change for you.
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Do you want to be added to my email list? *
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