A&H Custom Solutions Application

A&H Custom Solutions Application

to be filled by the client

Breakthrough Challenge-Personal Details (#70)

1. What are your Current challenges/problems?

2. What specifically do you see as an outcome from an Intervention with A&H Excellence Installation Specialists?

3. How would you know when you have achieved the expected results from the intervention? Describe in detail about how you would feel different, think differently and perform differently.

4. Why are these changes important to you? And how will it help you and your integrated life outcomes?

5. Are you on any Medication currently? (Medical, mental health etc.)

6. Are you currently undergoing any form of treatment (medical, mental health etc.)?

7. Any alternate therapies, techniques etc. that you have explored in the past? If yes, mention what you intended to solve with them, and what happened? Also, please mention if any you are still pursuing any of these modalities.

8. Any other comments: