Client Assessment Forms

Prior to your first appointment

Please download, print, and complete the New Patient Form and Symptom Survey Form. Then scan and email to

Filling out both forms accurately and completely helps Alexandria determine which methodology will best serve your health and wellness goals. I look forward to working with you!


For Interior Alignment, Space Clearing, or Instinctive Feng Shui appointments, please fill out the appropriate questionnaire.

Please call or email my office if you have any questions