Schedule a Health History

Step 1 - Click link below to schedule

Step 2 -

Congratulations on making the decision and taking the next step to empower your Healthy and Joyful life.

Please print and fill out the Health History Form in blue below. Then email the completed form to me at Robin@YourEnergyInMotion.com before our appointment.  As you complete this questionnaire:

  • Take time to be present and complete this process. 
  • Think deeply about yourself and answers to these questions. 
  • See what new comes up for you during the process that you may not have been consciously aware of before. 
  • There is no right or wrong answers just where you are in the moment.
  • The Health History Form will give you and I a great place to start our first conversation.

Health History Form - General
Health History Form - Women
Health History Form - Men
Health History Form - Senior
Health History Form - Female Teen
Health History Form - Male Teen
Health History Form - Child