Thank you for applying to become a patient of Ethos Integrative Medicine. At Ethos, we believe in creating great relationships with our patients. We want to partner with our patients to get and keep them living a life they love. We know that you have goals and expectations unique to you, and we want to ensure that we can meet those expectations to the best of our ability. We don’t take our role lightly, as such we only take on a certain number of patients at a time. The purpose of this questionnaire is to help us learn a little bit more about you, and to determine if you are a good fit for the Ethos community. This application should take about 10 minutes to fill out. We look forward to learning more about you.