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Cancer Assessment
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1) Are you undergoing a mainstream treatment for cancer?
*
Yes
No
2) Are you interested or being treated for cancer with alternative therapy?
*
Yes
No
3) Which of the following lifestyle measures could be improved?
*
Diet
Exercise
Stress
Sleep
Exposure to Environmental Toxins
Smoking
Weight Management
4) Do you smoke?
*
Yes
No
5) Is your vitamin D level low?
*
Yes
No
I'm not sure
6) Are you on an alkaline diet?
*
Yes
No
I'm not sure
7) Have you been told you have terminal cancer?
*
Yes
No
8) Do you suffer from significant pain?
*
Yes
No
9) Are you interested in mind/body approaches to support the journey through cancer?
*
Yes
No
10) Are you interested in lifestyle, dietary, and supplement recommendations to help your symptoms?
*
Yes
No
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