E CONSULTATION

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Dr. James Chandler, N.D., Ph.D

Traditional Naturopathy

Chandler Naturopathic Health Center

Go Natural - Your Natural Health Alternative

Would you like to have a Traditional Naturopathic Consultation but can't come to the office. Try the next best thing, an E Consultation! Send in your problem , questions, or concerns for a written consultation sent by email or US Mail or by a phone call to your contact number with your personal consultation. E Consultations are less expensive and they are specific to your issues. Telephone and/or email follow-ups with consultation information are included with the E Consultation package.

Please click on "Buy Now" and then complete the form below.

$75.00

E Consultation Con 001

$75.00

E Consultation. $75.00 Wellness Issue Please provide a detailed description of your wellness issue (s).

List any medical diagnoses (past and present).

List any current medications and/or supplements that you are taking.

List any allergies that you have.

Do you eat any of the following less than three times per week? Check all that apply.

Fresh ocean fishChicken or turkeyRaw seeds and nutsBeans, lentiles, and peasWhole grainsOlive oilFresh herbsFresh raw fruit

Do you eat any of the following More than three times per week? Check all that apply.

BeefPorkCanned foodsWhite flour productsAlcoholic drinksArtificial sweetners

Do you eat red meats or processed (packaged) meat products?

YesNoSometiimes, but not often, maybe once per weekSeveral times per weekSeveral times per dayFewer than three servings per month

Are you Vegan or Vegetarian?

NeitherVeganVegetarianVegetarian trying to go Vegan

Do you eat "Fast" Foods?

NeverLess than once per weekSeveral times per weekEverydaySeveral times per day

How many servings of vegetables do you eat each day?

NoneOne to three servingsFour to five servingsSix or more servings

How many servings of fruit do you eat each day?

NoneOne to twoTwo to threeThree or more

Do you eat seeds and nuts? If so, how often and how much?

I do not eat seeds or nutsDaily 1 - 2 servingsSeveral times per week, one serving or lessServeal times per week, more than one serving

Do you eat breakfast every day?

NoYesNot every day, but most days

What is your sugar intake ? Check all that apply.

I eat packed snack foods oftenI eat packaged snacks every dayI eat packaged snack foods several times each dayI eat cookies, cake, pie, or candy oftenI eat cookies, cake, pie, or candy everydayI eat cookies, cake, pie, or candy often everydayI drink soft drinks and/or sweet tea oftenI drink soft drinks and/or sweet tea everydayI drink soft drinks / sweet tea often everydayI do not eat sweetsI do not eat sweets very often

Do you smoke?

NoYesSometimes

How would you describe your weight?

I am under my ideal weightI am within 10 pounds of my ideal weightI am more than 10 pounds over weightI am more than 20 pounds over weighti am more than 50 pounds over my ideal weight

How much water do you drink per day?

No water to 1 eight-ounce glassTwo to four glassesFive to eight glassesMore than eight glasses

How would you describe your sleep at night?

I don't sleep at nightI am completely restful for eight hoursI get more than six hours but les than eightI get les than six hours of sleepI can't sleep when I go to bed

Which, if any, do you feel stressed over?

WorkPersonal and/or professional relationshipsTravelHealth and wellness issuesFinancesNewsTrafficunemploymentEventsOther

How often do you exercise?

NeverLess than three times per weekMore than three times per week

If you do exercise, what best describes your routine?

I exercise less than 30 minutes per sessionI exercise more than 30 minutes per session

Enter your contact preferences

EmailTelephoneUS mail

If you would like a phone consultation, what would be the best time for that call?

If you would like a phone consultation, what would be the best date for that call?

First Name

Last Name

Date of Birth

Sex

MaleFemale

E Mail address

Phone Number

Street Address

City

State

Zip code

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Home
About Us
Contact Us
Medicinary (On-line Store)
Services
Forms
Events
Articles/Blog
FAQ

Medicine from Nature - Backed by Science

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