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Customer Care Update Form

Fatigue over the past 7 days (0-None 10-Extreme)
Brain fog over the past 7 days (0-None 10-Extreme)
Bloating over the past 7 days (0-None 10-Extreme)
Reflux / heartburn over the past 7 days (0-None 10-Extreme)
Sleep issues over the past 7 days (0-None 10-Extreme)
Anxiety / nervousness over the past 7 days (0-None 10-Extreme)
Body pain / aches over the past 7 days (0-None 10-Extreme)
Constipation or diarrhea over the past 7 days (0-None 10-Extreme)
How consistently did you follow your plan this week?
Chest pain this week (0 = none, 10 = severe)
Shortness of Breath Severity this week (0 = none, 10 = severe)
Fainting this week (0 = none, 10 = severe)
Black Vomit or Stool this week (0 = none, 10 = severe)
Severe Dehydration this week (0 = none, 10 = severe)

Who We Are

This is your About section. This space is a great opportunity to give a full background on who you are, what you do and what your site has to offer. Your users are genuinely interested in learning more about you, so don’t be afraid to share personal anecdotes to create a more friendly quality.
 

Double click on the text box to start editing your content and make sure to add all the relevant details you want site visitors to know. If you’re a business, talk about how you started and share your professional journey. Explain your core values, your commitment to customers and how you stand out from the crowd. Add a photo, gallery or video for even more engagement.

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Oklahoma Safe Harbor Notice: This service is offered under Oklahoma’s Safe Harbor Act for complementary and alternative care. We are not licensed medical providers, and do not diagnose, treat, or prescribe any medical conditions. This service is educational in nature and supports wellness.

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