Before your call

This isn't paperwork. It's a map of where you're going.

We believe healthcare should be about more than treating symptoms — it should help you get your life back. That starts with us understanding you: where you're starting from, where you want to go, and what better health would make possible.

One promise before you start: I read every word of every questionnaire before every call. Nothing you write here gets skimmed.

— Dr. Justus Verre, Doctor of Oriental Medicine

Takes about 10 minutes. Answer as much or as little as you like — only a few questions are required.

For veterans: this is 100% optional. Your Veteran Care Call happens either way, and skipping this changes nothing. But if you fill it out, I walk into that call already knowing where you're starting from — so instead of spending our time on background, we spend it on what actually matters: your plan, your VA referral, and your next step. Totally up to you.

First, so we can match this to your call

Your name *

Please add your name so Dr. Verre knows whose story this is.

Email *

Use the same email you booked your call with.

A valid email lets us connect your answers to your booked call.

Phone (optional)

Your starting point

What brings you to Ignition Health? *

In your own words — the main thing you're dealing with, and how long it's been going on.

This one question is the heart of the whole call — a sentence or two is plenty.

What have you already tried?

Doctors, medications, PT, chiropractic, injections, supplements — anything at all.

What worked — even a little? What didn't?

How has this affected your daily life?

Work, sleep, movement, mood, relationships — whatever comes to mind first.

What has this cost you?

Tap everything that applies.

What has been the hardest part about living with this?

Now the good part

Take a moment with this one. Imagine it's one year from today, and your health has improved exactly the way you hoped.

What does your life look like?

Be specific. "I wake up energized." "I'm hiking every weekend." "I'm playing with my grandkids on the floor." "I'm off the medication."

What would achieving that mean to you?

Who benefits most if your health improves?

Tap all who are counting on this.

The path you're on

This isn't meant to scare you — it's a chance to look honestly at the road you're currently on.

If nothing changes over the next year, what concerns you the most?

Last two questions

How committed are you to becoming healthier? *

Just exploringAll in

Tap a number — there's no wrong answer.

Whatever number you tapped — what would move you one point higher?

Time? Cost? Skepticism that anything can work? Be honest — this is the most useful answer on the whole page.

Your answers go directly to Dr. Verre — and only to him.

Got it. Every word will be read.

Thank you — your answers are on their way to Dr. Verre. He'll read every word before your call, so you can spend your time on what actually matters: your plan, and your first step forward.

Keep an eye on your email for your call reminder. If anything changes before then, just reply to your confirmation email.

— Ignition Health · Salt Lake City