Your Personalized Path to Health and Wellness

It’s time to dive deep into the root causes of your symptoms and create lasting change.

Are you ready to transform your health from the inside out?

With 1:1 health coaching, you’ll receive personalized guidance tailored to your unique needs, challenges, and goals. Whether you’re looking to balance your hormones, improve gut health, manage stress, or boost your energy, this is your opportunity to dive deep into the root causes of your symptoms and create lasting change.

Together, we’ll uncover the habits, tools, and strategies that work best for you. This isn’t about quick fixes or one-size-fits-all solutions—it’s about empowering you to take control of your health and feel confident in your body.

3 month private health coaching

This program is a minimum of 3 months at $150 per month.

The $150 per month includes all consultations and ongoing support for those 12 weeks. This fee does not include the cost of labs, nutritional supplements, food, or any other products recommended in your Personalized Wellness Plan. However, you will receive special preferred pricing on labs.

After the initial 3-months, we will decide how often you’d like to meet for ongoing support. Follow-up appointments are $150 for 60-minutes and $75 for 30-minutes.

- Health history intake
- Education on how you got here and how to heal
- At-home lab test recommendations (if needed)
- Initial nutrition, health and lifestyle recommendations
- Review of your at-home lab test results
- Explanation of results including any root cause imbalances
- Design of your Personalized Wellness Plan (PWP) based on your results and bio-individuality
- Any updates needed to your Personal Wellness Plan (PWP)
- Additional personalized resources provided based on your unique needs
- Next steps for your health journey

Let’s work together.

Interested in working together? Fill out some info and we will be in touch shortly! We can't wait to hear from you!

The health questionnaire below is a standard wellness client intake form used in Functional Medicine to get a more complete health history.

Accurately assessing all the factors and comprehensively managing them is the best way to deal with these health challenges. Your careful consideration of each of the following questions will enhance our efficiency and will provide for more effective use of your scheduled consultation time. These questions will help to identify underlying root causes of illness and will also assist us to formulate your wellness recommendations.

Name

First Name

Last Name

Phone

(###)

###

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Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Birthday

Age

Height (feet, inches)

Weight (lbs)

Gender

Male

Female

Occupation

Have you worked with one of our health coaches previously? *

If yes, please list any labs you have already run:

Today's Date

Describe Health Related Problems/Symptoms:

What treatments have you tried?

Has anything been successful?

Have you lived or traveled outside of the United States? If so, when and where?

How much time have you lost from work or school in the past year?

Please list any allergies or intolerances (food or environmental):

List past Medical and Surgical History:

List previous hospitalizations:

How often have you taken antibiotics?

(as a child and adult)

How often have you have taken oral steroids?

(e.g., Cortisone, Pednisone, etc)

What medications are you taking now? (including birth control/hormones)

List all vitamins, minerals, and other nutritional supplements that you are taking now.

(###)

###

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What is your typical daily diet:

(List typical meals and snacks)

How much of the following do you consume each week?

(Tea, coffee, soda, other caffeine, dairy, cheese, bread, sugar, candy, chocolate, dessert)

Is there anything special about your diet that we should know?

Do you have symptoms immediately after eating, such as belching, bloating, sneezing, hives, etc.? If yes, are these symptoms associated with any particular food or supplement(s)?

How many bowel movements (BM) do you have per day? *

Example: 0-1, 1-2, 3 or more

Do you have any constipation (straining or less than 1 BM/day) or diarrhea (loose stool)?

Do you have intestinal gas? If so, when.

(after meal, after certain foods, etc)

How many times per week do you drink alcohol?

Do you have mercury amalgam fillings in your teeth? If so, how many?

Do you have any artificial joints or implants? If so, which ones.

Have you, to your knowledge, been exposed to toxic metals in your job or at home?

How would you rate your current level of stress?

Women: If you have a cycle, how long is it and is it regular?

Women: Any other comments related to your cycle? (flow, clots, mood changes, etc.)

Do you exercise regularly? If so, how many times a week?

What type of exercise is it?

Do you struggle with insomnia or interrupted sleep?

Do your parents or siblings have (or had) any health issues? If so, please explain:

Please add any other information you feel is important:

I have read and understand everything on this page. I acknowledge Jessica Lofgren is a natural health practitioner and does not diagnose, cure, or treat any illness or disease. Further, the undersigned releases Jessica Lofgren, her lab partners, her independent representatives, associates and affiliates from any and all liability for any failure to identify any medical condition or disease. It is understood and agreed that this is not the purpose of their natural health services.

I understand

Your Personalized Path to Health and Wellness

Are you ready to transform your health from the inside out?

3 month private health coaching

Month 1

Month 2

Month 3

Let’s work together.