Your Monthly Wellness Check-In

June 2026 — Verdant Health Functional Medicine

Calm wellness environment with candles and natural elements

Hi Sarah,

We hope this month has been kind to you. Your brief check-in helps us track how you are feeling between visits so we can support you better. Please rate how you have been feeling over the past two weeks.

Areas We Are Checking In On

Energy Levels — Rate 1 to 10

Sleep Quality — Rate 1 to 10

Digestion — Rate 1 to 10

Mood and Mental Clarity — Rate 1 to 10

Pain or Discomfort — Rate 1 to 10

You will also have the chance to note any significant changes and flag if you would like an earlier appointment. We read every response personally.

Complete Check-In Survey

Takes approximately 3 minutes to complete

Dr. Maren Solberg, ND

Naturopathic Doctor — Verdant Health

Thank you for taking a few moments for your health. Your check-in truly helps us provide the most thoughtful care possible. We look forward to hearing from you.

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Verdant Health Functional Medicine — 142 Birchwood Avenue, Suite 3, Portland, OR 97201

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Monthly Wellness Check-In Survey