Mike & Glori

Certified Independent Optavia Coaches

Let's Connect!

Hey! We're so excited to talk with you about your health goals!

1) Please fill out this quick health assessment and then schedule a time that's convenient for you to talk

OR

2) If you feel more comfortable, just schedule a time and we'll walk through it together on the phone.

Talk to you soon!

Health Assessment

Mike & Glori Storms ,Certified Health Coach

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Awaken... Discover where you are and where you want to be!

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Medical
*Lithium: The healthcare provider may wish to adjust frequency of lab work for the client and monitor.
**Thyroid Medications: The healthcare provider may wish to monitor thyroid hormone levels while the Client is on the Program and adjust medication.
***Coumadin (Warfarin): The healthcare provider may wish to review food choices, conduct lab work and/or adjust medication.

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Sleep

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HYDRATION

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MOTION

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STRESS

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EATING HABITS

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WEIGHT

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SURROUNDINGS