Free Vibrant Body Audit Questionnaire

Uncover what's keeping your body in pain, stress, inflammation or fatigue and receive 3 individualized key steps to start shifting back into ease. Complete this questionnaire and I’ll personally review your answers to create a detailed recording for you with a custom plan that points out your blind spots and outlines your next 3 healing steps, so you can get started in the right direction with your healing.

This intake form should only take 15-20 minutes and allows me to gather the critical health and personal information needed to complete your customized mini wellness assessment and send your personalized strategy video.

Contact information

First Name

Last Name

Date of Birth

Email Address

Location / Timezone

Gender

Are you 18 or older?

Yes

I understand that Lauren Oliver is a certified Yoga therapist, Integrative Health Coach, and Herbalist. I understand that she is NOT a registered dietician, talk therapist, or doctor. I understand that information she sends me in response to this health audit is for informational and educational purposes only.

I understand that Lauren Oliver is a certified Yoga therapist, Integrative Health Coach, and Herbalist. I understand that she is NOT a registered dietician, talk therapist, or doctor. I understand that information she sends me in response to this health audit is for informational and educational purposes only.

Yes, I understand.

Health Snapshot

The more detailed and specific info you provide, the more accurate and customized your personal strategy video will be.

Last Name

What are your 3 biggest health challenges right now? (ex. chronic back pain, migraines, fatigue, anxiety, constipation, autoimmune symptoms etc.)

How long have you been experiencing these issues?

What approaches have you tried?

Physical therapy

Acupuncture

Surgery

Botox

Prescription medication

Yoga

Massage

Craniosacral therapy

Lymphatic drainage

Herbs or Supplements

Specialized diet

Talk therapy

Somatic therapy

EMDR or other type of trauma work

Energy healing / Reiki etc.

Hormone replacement therapy

Other

If you answered other, please describe

On a scale of 1-10 (10 being the most), how much are these issues impacting your quality of life?

On a scale of 1-10 (10 being the most), how committed do you feel to finding a solution?

Do you have any formal diagnoses, and if so, what are they?

Please list any prescription drugs or nutritional supplements you take? (This is essential to check for any contraindications or possible medication side effects that may be contributing to your symptoms)