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Dr. Regina

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QUESTIONNAIRE

Please fill out our questionnaire so I can prepare for your free consultation. My name is Regina, and how may I address you?

1. Please enter your name:

2. When it comes to overcoming sugar cravings, what’s been your biggest challenge, frustration or obstacle that you have struggled with? Please be as detailed and descriptive as possible.

3. What solutions have you tried to solve this problem? How much time (hours) have you spent trying to solve this issue? How much money have you spent trying to solve this issue? When you were looking for help with this issue, can you tell me, what was it going on in your life then?

STOP SUGAR CRAVINGS

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Information on this website is educational only and is not intended to provide a physician-patient relationship, give diagnoses, prescribe treatment or do psychotherapy. Please contact your health care provider to obtain treatment. If you are in an emergency, please go to your nearest emergency room.

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