Free Health Assessment

Please answer the questions below. I will review your responses and will get back to you shortly regarding your health assessment.

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Lack Of Energy Or Endurance

 Difficulty Digesting Certain Foods
Recent Or Frequent Use Of Antibiotics

 Food Allergies
Poor Concentration or Memory

 Stressful Lifestyle
Regular Consumption Of Dairy Products

 Brittle Or Easily Broken Fingernails
Nervousness/Anxiety/Tension

 Exposure To Air Pollution Daily
Do You Feel Out of Control

 Weak Bones, Teeth Or Cartilage
Don't Exercise Regularly

 Illness More Than Twice A Year
Diet High in Red Meat

 Regular Consumption of Alcohol
Puffiness/Dark Circles Under Eyes

 Fewer Than 2 Bowel Movements Per Day
Skin/Complexion Problems

 Feeling Down, Uninterested Or Moody
Dry, Damaged Or Dull Hair

 Less Than 3 Servings Of Fruit And Veggies Daily
Difficulty Getting To Sleep, Lack of Sleep

 Chemical Sensitivities
Do you worry excessively

 Heavy Mucus Production or Feeling Congested
Body Odor And/Or Bad Breath

 Monthly Female Concerns
Frequent Mood Swings

 Smoking
Belching Or Gas After Meals

 Cravings For Sweets Or Junk Food
Restless Sleep Or Waking Up Frequently

 Diet High in Fats/Cholesterol
Muscle Cramps Or Spasms

 Caffeinated Beverages Daily
Recurrant Yeast Or Fungal Infections

 Easily Irritated
Regularly Experience Diarrhea

 Heavy Coating On Tongue
Gum Problems Or Redness On Nose

 Menopausal Concerns
Age-Related Health Problems

 Difficulty Maintaining Ideal Weight
Diet High in Meat and Grains

 Low Sex Drive
Frequently Feeling Fearful Or Timid

 Feeling Irritable Or Easily Angered
Respiratory Concerns

 Frequent Urination Or Urinary Concerns
Sore Or Painful Joints

 Weak Knees, Ankles Or Back
Daily Consumption Of Fried Foods

 Cold Hands And Feet
Shallow Or Difficult Breathing

 Feeling Anxious Or Worried

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