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Pre-Consultation Questionnaire

  • Welcome to your initial step towards better understanding of your energetic patterns and blockages. Please take a few moments to answer the following questions.

    Your responses will provide valuable insights so we can gain perspective on your specific concerns, which allows us to tailor a personalized approach to best serve your needs.

    Basic Info Needed

  • Top Three Health Complaints

  • Successful Remedies

  • Allergies & Medications

  • Diagnoses & Surgeries

  • Additional Information

  • Disclaimer

    We appreciate your interest in our bioresonance testing services. It is crucial for us to communicate that bioresonance testing is not recognized or approved by the U.S. Food and Drug Administration (FDA) as a diagnostic or therapeutic method. The analysis and recommendations provided through bioresonance testing are not intended to serve as a diagnosis or treatment for any disease. Always seek the advice of a physician or other qualified healthcare provider with any questions you may have regarding a medical condition. WellnessPlus and Ariel Welch cannot be held liable for any claims or damages arising from the use or misuse of the information obtained from the Energy Scans.

  • July 19, 2024
  • Please submit this questionnaire as soon as possible, we are unable to run your scan and begin the analysis without it, so the “1 week turnaround time” may be delayed if you do not fill out right away. We look forward to helping you achieve your health goals. .

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JOIN NOW

$20 off your first month

Identify & address the underlying causes of chronic health conditions

JOIN NOW