Significant Healing Well Care Practice
859-282-0022
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    Free Health Questionnaire

    Please complete all sections below.  Results will be emailed to Victoria and she will reply to you .  Please allow about 15 minutes to compete.
    Please provide a phone number if you would like our office to follow up with you.

    Please chose the most accurate answer below.

    Once you answer this extensive questionnaire, Victoria will review your response personally and reply via email.

    Eyes


    Ears


    Nose


    Mouth/Throat


    Head


    Heart


    Lungs


    Joints/Muscles


    Emotions


    Mind


    Energy/Activity


    Skin


    Digestive System


    Weight


    Other

Submit

"I cannot believe how energetic I feel! After just a few weeks of working with Victoria, my headaches are gone, I have energy like I did in my teens, I am sleeping great and my stomach doesn't hurt any more! I highly recommend everyone...and I mean everyone go see her!" -Mary, 32 years old


6900 Houston Road, Suite 41, Florence, KY  41042
859-282-0022

Hours BY APPOINTMENT ONLY - Monday- Closed, Tuesday - 10am to 5pm, Wednesday - 11am - 5pm,
Thursday - Closed, Friday - 10am to 2pm,
Saturday - 10am to 1pm, Sunday - Closed


Copyright 2008. Significant Healing. All Rights Reserved.
All content on this website created and owned by Victoria Smith, Board Certified Holistic Health Practitioner.





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