Clarity Call TGHR

Clarity Call

Mini Health Assessment – Before Your Clarity Call
Before we meet, please take a few minutes to complete this brief assessment. Your answers will help me understand where you are in your wellness journey, what challenges you’re facing, and what goals you hope to achieve. The more honest and detailed you are, the more personalized and impactful our conversation will be. This is not a medical evaluation — it’s a snapshot to guide our call so we can focus on what matters most to you.

What would you like to adress at this time?*

On a Scale of 0-100 (0 being absolutely horrific and 100 being AMAZING), rate the following:

Emotional Health 0-10*

During the past year, how many days did you miss work, or have your regular activities curtailed, due to illness?*

In the past 12 months, how many days were you in the hospital?*

Explain your sleep. (How many hours do you get, quality, how long does it take you to fall asleep, what is your typical bedtime and wake up time, do you feel rested when you wake up, do you dream?)*

Have you had gallbladder issues? Removal?*

Do you have a daily bowel movement? Please describe your normal. *

Does your stool sink or float?*

Have you avoided the 7 inflammatory foods for 30 days? Elaborate: what did you notice *

What positive effects have you had since starting the program?*

Do you consume alcohol, street drugs, or smoke? Please explain*

What time of day do you feel your best?*

Do you have chronic pain?*

Is weight a problem for you? explain*

Are hormones a concern for you? explain*

Is sleep a problem for you? explain*

What kind of cleaning products do you use? *

What kind of personal care products do you use?*

Do you have silver fillings, root canals, implants, gingivitis, or other unresolved dental issues? *

Have you lived in a moldy environment? *

Have you had a viral illness? Explain *

Do you have autoimmune issues or suspect you do? Explain *

What CELLCORE step are you currently on?*

List your supplements

List your medications

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