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Let's Get to Know YOU!!
New Client Intake Form

Welcome!
How did you hear about us?
What are you interested in?
Do you get outside every single day?
Do you enjoy outdoor time or activities?
Is your period regular?
Are you currently on birth control?
What percentage of your meals are home cooked?
What percentage of your meals would you prefer, ideally, to cook yourself?
How proficient are you in home cooking?

Get in Touch

Let's build a daily routine you cannot wait to rise and run to everyday!

Same incredible YOU...We are just adding some new habits and lots more love!

Email: Danielle@DanielleBrodyWellness.com

Phone: (215) 694-1191

Based in Yardley, PA + Virtual Services

© 2021 Danielle Brody Wellness

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