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There are no right or wrong answers - only patterns.

How would you describe your energy levels most days?

Low and inconsistent

Wired but exhausted

Decent in the morning, crashes later

Fairly stable but not optimal

Have supplements or vitamins ever seemed to “stop working” for you?

Yes — they help briefly, then nothing

I need more and more to feel anything

They upset my digestion

No, they still work well

Do you experience any of the following regularly? (Choose the closest)

Cold hands or feet

Poor circulation or numbness

Puffiness, swelling, or fluid retention

None of these

How does stress affect your body?

Symptoms flare quickly under stress

Stress feels “stuck” in my body

I don’t sleep well when stressed

Stress doesn’t affect me much

How would you describe pain, stiffness, or inflammation in chronic or recurring your body?

Stress doesn’t affect me much

Chronic or recurring

Comes and goes

Only with activity or overuse

How is your digestion overall?

Sluggish or irregular

Sensitive or reactive

Mostly okay, but not great

Generally strong

Have you ever been told your labs are “normal” but you still don’t feel well?

Yes, many times

Yes, recently

Occasionally

Which statement resonates most right now?

I feel like my body isn’t using what I give it.

I’m doing everything right but still stuck.

Something feels blocked or stagnant.

I just want to optimize my health.

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Melisa Angeloflight, MSN, BSN, ADN

Retired Family Nurse Practitioner

Founder, Reverse Diseases Naturally LLC

www.ReverseDiseasesNaturally.com

Reti

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