This survey is strictly for your benefit! Review it carefully and follow the instructions. Please Print this page.  Place a check mark next to each condition that applies to you.   Have you experienced any of the following sysmptoms during the past six [ 6 ] monsth? Headache / tension          Low back pain Digestive disturbance       Knee pain Neck pain                       Ankle pain Pain that migrates           Elbow pain Difficulty sleeping            Irritability Fatigue                           Allergies Shoulder pain                  Wrist pain Nervousness                   Dizziness Hip pain                          Ringing in ears

Do you have: Tension between the shoulders   Numbness or tingling in the arms or hands   Numbness or tingling in the legs or feet Trouble wtih weight gain or weight loss   Each check mark implies that you are under greater and greater amounts of stress. Any symptom can trigger the disease process.  In a normal state of health,  you would not have any of the above conditions! Not even one symptom on any given occasion!   How many check marks do you have? Do they cause you to be: Moody Irritable Sleep with interruptions Restrict your daily activities   How many check marks did you have? Does this affect your work? Decision making Poor attitude Decreased productivity Exhaustion at the end of the day Unable to work long hours   Do these symptoms affect your life? Lose patience with your spouse or children Restrict household duties Hinders participation in sports or ability to exercise Decreased sexual desire or performance

If you checked any of these symptoms, chances are that your organ systems are not functioning properly. The disease process has begun with Stress creating an imprint in your bodily functions! At Maye Holistic Med, we can help reverse this process. We specialize in restoring health to your optimum level using Dr. Maye's Bio-energetic Ablation.  We also offer a full range of procedures from testing, homeopathics, &  non-surgical enhancements. Ask yourself if you feel better today than you did five [ 5 ] years ago?  Will you feel better next year without changing your current course of living.      Fax your completed FREE STESS SURYEY to             786-533-2399.  Next, call 305-668-9555 to make an appointment for your complementary 15 minute consultation with Dr. Maye.     Are you ready and prepared to commit to good health? AT MAYE HOLISTIC MED WE ARE 100% COMMITED TO YOUR OPTIMUM HEALTH!!                       Frank M. Maye, D.O.M., [NMD] 7800 SW 57 Avenue, Suite 126 Miami, Florida  33143 Office 305-668-9555 Fax 786-533-2399 mayeholisticmed@aol.com Google Map