• Name:
• Age:
• Height:
• Weight:
• Body fat percentage (if known):
• Typical day's diet:
  
• Caloronutrient ratio analysis (if possible):
• Sample of daily physical activities:
  
• All pertinent health history including medications alcohol and recreational drug use (if any):
  
• Occupation:
• Education:
• And anything else you feel will assist me:
  

* If you do not include something that I believe I need, I will ask for it, not to worry.

2. A list of your goals.

I wish to help you in reaching your goals; not to superimpose mine upon you.

A clear understanding of your goals will help us stay focused.

This list may be short or long, specific or general.

3. Your initial questions.

Many people have difficulty actually forming their questions, so in order to save us time and money, please write them below, as clearly and succinctly as possible. Your questions, and how you state them, will tell me a lot about your understanding of your issues. It will help me in creating an appropriate level of response. Of course, more questions will come up as we speak, and after we speak. We will address them as well, eventually, if you like. Subsequent questions tend to be more concise.

Free services:

All "shopping" is free. I am not yet sure that I am the best consultant for you, (if it turns out that I believe someone else would do a better job for you, I will direct you to that person) and you are likely not yet sure that you wish to utilize my services.

Until we actually initiate a consultation, there will be no fee.

Follow up clarification services are free. Any topic covered in our consults upon which you are not clear are available for free clarification. I encourage you to ask follow up questions as needed. Many people find this service invaluable as they implement the suggestions made during their consults.

Initiation of entirely new subject matters, or completely different and uncovered aspects of old subjects is not included in this clarification service.

Fees:

Fees are determined on an individual case basis. After you submit your consultation form, I will supply a cost quote that includes a request for any further info I may require, recommended actions, and suggestions on how to proceed.

How consults actually happen:

You may choose to consult via email or via telephone, as each has advantages. Telephone offers immediacy, inflection, and a spontaneity that many people prefer. Email offers convenience, hard copy, and formulating your emails requires no expensive consulting time.

* Please note that in entering into this consultation, the nature of the relationship between Dr. Graham and you will be that of consultant and client, not doctor and patient. Dr. Graham no longer practices chiropractic medicine, but instead consults with individuals regarding their lifestyle choices.