Submitted by B
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Pre-Coaching Questions
Your Name and Phone Number ______________ Instructions: Please answer the questions as best you can, you may just answer the multiple choice and/or add any text you wish. You may use a code in any essay question if you feel uneasy with writing your answers down for me. You may scan and email to [email protected] or fax to: 8008687298. Please give me a day to review your answers and then we can talk. You may also fax any medical test results you wish me to review and discuss with you.
Describe your diet:
- 50% or more Animal
- 25% or more Animal XX
- 10% or more Animal XX I would say somewhere between 25-10%, After I eat meat sometimes, I feel bad and go on a vegetarian diet for a while
- 5% or Less Animal
- 100% Plant
To Recover and increase expected life the science shows ? 100% Plant is best
Describe your Bowel Movements:
- Every Third day
- Every Other Day
- Every Day XX Usually daily or more
- Two Times per Day
- Three Times or More per day
Describe your Skin:
- Generally free of fungus and mold, even between toes, no yeast infection or thrush XX
But very dry forehead at times even flaky
- Some fungus and mold, between toes or anywhere, yeast infection or thrush
List All Pharmaceuticals You Now Take or Have Taken in the Last Year ? ____________NONE_________ ? _________________________ ? _________________________ ? _________________________ ? _________________________ ? _________________________ ? _________________________ ? _________________________
Page 1 of 6
Pre-Coaching Questions
When Did You DIscover / Were Told You Had Cancer?
- ____about a year ago Hodgkins______________________________________________________
Comment: Add rebounding four or more sessions each day four or ive minutes of gentle rebounding will move the lympth assising in removing the toxins that are backing up.
![Rebounder](https://www.drkelleyenzymes.com/wp-content/uploads/rebounder.jpg)
What Standard Medical Treatments Have You Done and When
- Chemo None, dr said it was slow and should have a high cure rate, so I wanted to try alternatives
- Radiation
- Surgery
List all Alternative Programs You Have Tried – How Long and Your Experience
- ___Gerson fruit and diet for about a month or more didn’t seem to work
- ___Budwig and also combined it with gerson also didn’t seem to work much 1-2 months____________
- _1-2 G vitamin C______________________________________________
Comment: Cancer took years to get to the measurable stage
Plan on According to Dr. Kelley between six and eighteen months of enzymes at a therapeutic dosage to get rid of cancer.
You can stop progression within weeks in many cases with a ? 100% Plant Diet
Please List All Accidents, Assaults, Surgeries or other trauma you have experienced
- _No Surgeries, or assaults ( I was attacked at school when I was younger by other kids) ____
Comment: Being attacked is an Assault – instruction are contained in the Emotions document collection (free with purchase of enzymes)
- No trauma that I recall_____________________________________________________
- _________________________________________________________________
List Any and All Chemicals, Inoculations And Other (work related exposures)
- __I work in a pharmacy, so I have been exposed to some chemicals_Dont know exactly which ones
- _TB inoculations____________________________________________
- _________________________________________________________________
Comment: You may want to test for heavy metals, but changing to 100% plant will reduce the heavy metal in any case
https://www.youtube.com/user/NutritionFactsOrg/search?query=heavy+metal
List Any And All Emotion FIlled Events You Have Experienced (For Example: Divorce, Death of Loved One, Employment Problems)
- _Death of father and mother probably affected me badly several years ago
- _________________________________________________________________
- _________________________________________________________________
Support From Spouse For Alternatives to Drugs, Surgery and Radiation
- Unconditional _________________
- Limited _____Limited____
- Struggling for Support _________________
Support From Family, Friends and Church
- Unconditional _________________
- Limited _________________
- Struggling for Support _________________
Probably none
Do You Consider Your Financial Condition As
- Fine _________________
Page 2 of 6
Pre-Coaching Questions
- Cautious _________________ somewhere between cautious and struggling
- Struggling _________________
Teeth
Any Amalgams _________________
Any Root Canals _________________
Any Implants _________________ None of these
Dentures _________________
Bridges _________________
Your Biggest Fears
- _getting ready for retirement on my own__
- _________________
- _________________
Your Biggest Regrets
- ___should have done things earlier__
- _________________
- _________________
Your Biggest Goals
- One Year _________________
- Three Years _________________
- Five Years _________________
- Beyond ___retirement____
Home Condition
- Newer or Well Maintained _____x_____
- Older or Well Maintained _________________
- Older And Needs Work _________________
- Other _________________
Weight loss is not unusual for a patient until they get on the Kelley Program Please note the following:
- Weight a year ago __225_
- Weight six months ago __215___
- Weight three months ago ________
- Weight two months ago ________
- Weight one months ago ________
- Current Weight_211__ Hight_5’7’’_ Age_49_
Page 3 of 6
Pre-Coaching Questions
Daily Activity Walking or achieving aerobic activity
Daily 5 Minutes ___if that_
Daily 10 Minutes __________
Daily 15 Minutes __________
Daily 20 Minutes __________
Daily 25 Minutes __________
Daily 30 Minutes or more __________
Comment Recommended Walking – the more the better – add 5 minutes additional each day until you are walking at least an hour
You will gain more health and ability as you remove all animal products – your weight will normalize and you will have more strength.
Blood Type (If You Know) _________________ Detoxing
What Liquids Do You Consume Most Days (In Cups)
- Coffee __________
- Tea __________
- Milk __________
- Soda __________
- Bottled Juices __________
- Fresh Fruit Juice __________ I have been making more fresh juice sometimes.
- Fresh Veggie Juice __________
- Bottled Water __about 6 per day__
- DIstilled Water __________
Comment: Distilled is best instructions in dirty water book (Included wth purchase)
Juicing or Vitamixing veggie and Fruit will help you greatly
Coffee Enemas Most Days
- One Every Day when I remember I do one a day but usually not unless I am on a protocol
- Two Every Day
- Three Every Day
- More
Comment; If you choose to follow the Kelley Progam you will need Enemas daily
Far Infrared Sauna
- Frequency ______
Any other Detox?
- ___vitamins and sauna sometimes___
Comment: Vitamins are not a detox. Sauna, Liver flush, mud soak, caster oil packs etc are.
Aches, Pains and Concerns
- Pain Frequency and duration
Sometimes strange pain in chest and chills at night wake me up
Comment: Likely pain will go away with the change of diet to plant.
https://www.youtube.com/user/NutritionFactsOrg/search?query=pain
- List other Concerns
Pre-Coaching Questions
- _________________
- _________________
- _________________
Sleeping
- Hours Nightly ____5-7 __
- Comments __ interrupted sleep ____
- Awaken _________________
Comment 8-9 hours if you can listen to the science:
https://www.youtube.com/user/NutritionFactsOrg/search?query=sleep
Which Of These Statements Best Describe Me
- I Do Best With A Written Plan X
- I Do Best With General Guidelines X I can do with any of these
- I Do Best Researching and Figuring Out My Own Plan
Work Outside Home
- Full TIme _____Full time job 7 days on 7 days off____
Comment: You will have to adjust the amount of enzymes taken to accommodate your timing for enemas and work.
- Part Time _________________
- Not, But Want To _________________
- Retired _________________
- Unable To Work _________________
- Work At Home ?
Number of Children Under 5 _________________
- Number of Children Age 6 to 10 _________________
- Number of Children Age 11 to 18 _________________
- Ages of Disadvantaged Children You Care For _________________
- Disadvantaged or Elderly You Care For _________________
Help You Have Available (help for What?)
- Zero Hours of Help ______
- 13 Hours of Help _________________
- 46 Hours of Help _________________
- 79 Hours of Help _________________
- 10 or More Hours of Help _________________
Family History of Cancer
- Mother _________________
- Father ___colon cancer____
- Siblings _________________
Family History of Other Disease
- Mother __asthma_____
- Father _________________
Page 5 of 6
Pre-Coaching Questions
- Siblings _________________
Additional thoughts:
Read up on gut bacteria, considering your weight and sleep timing – my thought is your microbiome is in need of a 21-day detox and probiotic re-inoculation and a plant based diet.
https://www.youtube.com/user/NutritionFactsOrg/search?query=gut
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