Prior to requesting an initial appointment, please complete the following brief questionnaire to help determine your fit for Dr. Aguilar’s private practice. The survey should take less than 5 minutes. If there are any questions or concerns, please contact him directly. After completing the survey, you may request an appointment online through his website (you may need to cut and paste this address into your web browser):

http://www.seattledoctorofacupuncture.com/schedule-online.html

Alternately, you may contact him directly at
DrJohnAguilarJr@gmail.com.

* 1. What is your name?

* 2. What is your focus of receiving treatments?

* 3. How concerned are you that treatments you receive be backed by substantive evidence of safety and effectiveness?

* 4. How willing are you to make adjustments to lifestyle, e.g., dietary changes, sleep habits, etc.?

* 5. In general, how important is your health to you, for instance, in relation to work, etc.? To answer this question, please consider how much time and energy is spent supporting health versus other areas of life, as well as where your priorities lay when making decisions, i.e., what is given higher priority.

* 6. How open are you to discussing other areas of your life which may not appear directly related to your main medical complaint? For instance, are you willing to discuss other aspects of physical well-being, mental/emotional aspects of life, and your history?

* 7. Overall, what is your investment in dealing with your main medical complaint?

* 8. Over Dr. Aguilar’s thirteen years of clinical experience, he has learned that both patient and physician are more satisfied when their clinical priorities match each other’s.

Dr. Aguilar focuses on whole-life, whole-health, professional medical care. His is not a quick-fix practice or one which employs the “latest and greatest” techniques or gadgets or various “alternative” therapies.

He aims for giving the best care possible, which often requires more time and energy on the part of both he and the patient. He strives to help the patient attain the best health possible. Short-cuts are, thus, the exception.

Ultimately, Dr. Aguilar seeks patients with whom he can maximize his clinical knowledge and abilities. It needs to be understood that working with him can be more involved and intense than with other healthcare providers. Where there’s a good patient-physician match, however, the gains are far greater than could be experiences with other practitioners.

Given the entirety of this questionnaire, including the above, how good of a match do you believe you are for Dr. Aguilar's private Chinese medical practice?

0 Patient-Physician Fit, 10 = perfect match
i We adjusted the number you entered based on the slider’s scale.

* 9. If you feel you are a good fit for Dr. Aguilar's practice, you may request an initial appointment online at (you may need to cut and paste this address into your web browser):

http://www.seattledoctorofacupuncture.com/schedule-online.html

Alternately, you may contact him directly at
DrJohnAguilarJr@gmail.com.

You may leave thoughts or questions for Dr. Aguilar below.

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