top of page

Environmental Consultation

Pre-screen Questionnaire

Welcome! Thank you for your interest in a unique personalized consultation session.  So that we may be better prepared for your comprehensive consultation,  please fill out this questionnaire.  Once submitted, you’ll be taken to the scheduling calendar to reserve your desired time. We will be in touch, usually within 2 business days, after we receive your questionnaire with any additional information needed for our session.

1. Please complete this basic info about yourself:

6. How ready and willing are you to make changes to your interior space potentially including buying habits, in order to create a healthy home, on behalf of your health?
9. Which areas of your life are negatively impacted by your current health concerns and living situation?

Thanks for submitting!

bottom of page