Personal Health Assessment  Forms & Procedure

Congratulations on taking the first steps towards improving your health. I am looking forward to our time together. Before your appointment, please complete the necessary paperwork and coaching agreement. All required steps will ensure the best use of our time together in serving your wellness needs.

If you have any questions or issues please reach out to for assistance.

  1. Print and complete the "Wellness Analysis" form.
  2. Print and begin tracking your food and beverage intake (with this Nutrition Tracker form) for about 3-4 days. Continue tracking food and beverage for any future appointments you plan to make.

After completing the Nutrition Tracker and Wellness Analysis forms scan them and email them back to me at

The Nutrition Tracker and Wellness Analysis forms need to be submitted the day before your appointment. Electronic acceptance of the terms of my coaching agreement is required before our session.

Our telephone is 812-473-2502 if you would need to reschedule please notify at least 24 hours prior to your appointment time. I look forward to talking with you at the scheduled time to support your wellness goals. It is an honor to serve your wellness needs.

Bonnie Schnautz, ND, CNHP Naturopathic Doctor