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Worksheet

Total Health Advocate Step 1 Exploration Call

In order to gather enough information to come up with options, please take a few minutes to tell us about you and your concerns. We will discuss in more detail during the call! 

1. ➜

What is your First and Last Name?

2. ➜

What US State do you reside in?

If you are outside of the United State of America, please note this as well. 

3. ➜

Are you familiar with, or have you previously seen a Functional Medicine or Naturopathic Doctor?

4. ➜

What are you top 3 health concerns that you are seeking assistance with?

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5. ➜

How did you hear about Dr. Pingel?

6. ➜

Is there anything else that you would like us to know prior to the call?

7. ➜

You will now be redirected to the schedule to book your call

If there are technical issues, feel free to reach out to us at 602-845-8949 or contact@drpingel.com