As we’ve mentioned many times before compliance is King. The number one thing standing in the way of good compliance is good, clear communication from the practitioner to the client as to their responsibilities, in order to demonstrate the use of the resources you’ve provided them.
We want to ask a lot of questions of clients to identify key areas we may need to refine. Together, we can adjust their approach until the next visit.
Key Point: Each visit is not about making changes, it’s about refining the clients approach and understanding of the resources you’ve provided so they can maximize their results and not be overwhelmed.
The following detailed list of questions are posed to the client, every time during every visit! Their response gives us additional information to help them stay on track!
1. Bowel Movements Should be two or three daily minimum, soft consistency, dark in color with a sense of full evacuation experienced by the client.
2. We always ask about energy and ask the client to grade their energy. One represents lousy where 10 represents excellent energy on a daily basis. Ask them to give you a score.
3. How well is the client sleeping. Any concern with health is made worse by your insomnia cases. Also, find out if they have trouble going to sleep or staying asleep. Their answer will give you more insight as to what you should be doing to support them properly with either dietary or supplement refinements.
4. Digestion is always a big issue with most clients. Ask them if they’re experiencing any gas, bloating, nausea or heartburn. Again their response will give you some insight into how you can help them proceed.
✅ Make certain the client is following their supplements schedule as close as possible. Here being flexible with how you design their daily supplement schedule needs to be discussed for example. Some clients do much better if they only take supplements at breakfast and supper. Other clients have no problem taking supplements three and even four times per day. It is your responsibility to determine the frequency and design a proper schedule your client can follow. Remember, the best time to take supplements is when the client remembers. If they continue to miss taking supplements, this only delays their improvement.
✅ If there’s one area I have found practitioners to be very weak on is the area of collecting and grading food logs on a weekly basis. Here you need to make certain you’ve educated the client how important food logs really are. We do not use food logs to punish or point out negative aspects of the clients dietary habits. We use food logs to identify what’s missing and should be added back in the daily diet.
✅ Additional note on food logs. We’ve had clients get off to a rocky start and not turn in weekly food logs. It is the standard in our office that three visits in a row without food logs, prompts us to have a serious discussion as to whether or not we even continue their program. That’s how important food logs are! When grading food logs look for ways to validate improvements. Clients always love good news!
✅ Always be flexible regarding dietary changes your clients are making and remind them it takes, in most cases, 6 to 9 months of close monitoring to develop healthy eating habits. Be patient as well as consistent in improving these habits.
✅ When you approach the end of the evaluation process, and you find the client is improving, and the program is stable, do not make any additional changes to the program.