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Welcome

to SherpaWay

You are just a few steps away from starting your journey towards CONSCIOUS, INFORMED and GUIDED HEALTH on a path designed specifically for you.

Sherpa Form

This form is designed to help our Sherpa Guide understand your individual needs and delve into your background to create your roadmap. Our approach is based on a high level of customization, ensuring that the recommendations and tools you receive are aligned with your wellness, health, and personal growth goals.

PERSONAL INFORMATION

HEALTH HISTORY

Do you have any current health conditions? (If "YES," please describe which one(s))
NO
YES, Specify
Have you had any major health conditions or diagnoses in the past? (If "YES" Describe which one(s))
NO
YES, Specify
Do you take any medication regularly? (If the answer is "YES" Describe which one(s))
NO
YES, Specify
Have you been hospitalized or had major surgery?
NO
YES, Specify year and reason
Do you have any implants, root canals, crowns, recent extractions, or current dental problems? (Includes infections, inflamed gums, or recurring pain)
NO
YES, Specify
Do you have any allergies or adverse reactions to medications, foods, or substances?
NO
YES, Specify
Do you currently take supplements or natural products?
NO
YES, Which ones?

HEALTH HABITS

What is your level of physical activity?
Sedentary (I hardly exercise)
Light (I walk or move a little, 1-2 times a week)
Moderate (exercise 3-4 times per week)
Active (I train or do physical activity almost every day)
Very active (intense daily training or demanding physical work)
How much water do you drink per day, approximately?
Less than 1 liter
Between 1 and 2 liters
I'm not sure
Do you use any kind of drugs?
NO
YES, Specify
How would you describe your digestive system?
What are your main symptoms?

HEALTH AND WELLNESS GOALS

What brings you to Sherpa Way?

EXPERIENCE WITH THERAPIES

Have you tried alternative therapies before?
NO
YES, (please mention which ones and briefly describe your experience:

PREFERENCES AND COMFORT

What types of therapies appeal to you most? (Select all that apply)
Are you more comfortable with sessions that include physical contact (such as massages) or do you prefer therapies without physical contact?
Comfortable with physical contact
I prefer no contact
Indifferent
Do you prefer to work with therapists of a particular gender?
Female
Male
Indifferent

PERSONALITY AND LIFESTYLE

How would you describe your personality?
Introvert
Extrovert
Ambivert
I'm not sure
How do you usually make decisions?
Based on intuition
Analytical reasoning
Emotionally Balanced
I'm not sure
Do you consider yourself more
Rational
Emotional
Balanced
I'm not sure

BELIEFS AND PERSONAL EXPERIENCE

What beliefs do you identify with most when you think about alternative therapies?
Energy focus (work with chakras, energies)
Physical focus (bodywork, physical correction)
Emotional approach (emotion-based therapies, emotional management)
Other (specify):

LEARNING STYLE

How do you prefer to learn or process information? (Choose the options that best suit you)

EXHIBITION AND ACCESSIBILITY

Are you open to trying new or unknown therapies?
YEAH
NO
It depends on the type of therapy
Are you comfortable with remote or virtual sessions?
Comfortable
Something comfortable
Not comfortable)
Do you prefer sessions?
Structured and with a defined plan
Flexible and intuitive
Are you open to receiving an action plan after the consultation with recommended steps?
YEAH
NO

Thank you for providing this information, see you at our Sherpa appointment.

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