NET Wellness Check Form

Please fill out this form.

What is a NET Wellness Check?

The NET Wellness Check Questionnaire from NET Mind-Body helps quickly identify and prioritize what areas may contribute to your problem areas.

Please fill out the following questions to the best of your ability. When completed, you’ll be able to print your results and take them to your practitioner for further evaluation.

Complete this form and send it to Dr. Brown.

Please use the PRINT and EMAIL buttons.

When you complete the form, it provides you and me with essential information on handling stress and where it resides in your body.

How does STRESS affect your body?

Stress, such as anger, resentment, grief, to PTSD, affects the body long after the “stressor” is gone. When your body can not release the event or stressor, you find yourself with unexplained issues, phobias, self-destructive or sabotaging behavior, and too many physical problems.

We know stress can affect our mental well-being, and addressing stress-related issues can help release unwanted symptoms and behaviors.

We also know stress can affect our physical body in many ways, and addressing stress-related issues can help many acute and chronic problems.

Thank you for taking the time to complete the NET Wellness Check Questionnaire.

Please use the PRINT or EMAIL buttons above to provide your practitioner with a copy.

Dr. Brown recommends that you retake this questionnaire in 30 days.

Click below for assess form:

Thank you for taking the time to complete the Wellness Check Questionnaire.

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Healthier and Feel Better

“In three weeks, I have achieved a level of health that could have taken me months by any other means. I look and feel better than I have in years, and I lost a minimum of 5 lbs. per week. I now refer my friends who have witnessed the results!”

M. Ranney, Brattleboro, VT

Diagnose your symptoms. Get help now.

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