Take Our Free Online Holistic Weight Loss and Health Evaluation
This healthcare evaluation is designed to be the first major step in helping you find the underlying cause to your weight and/or health concern.
The evaluation only takes a few minutes to complete, and once finished, you will be contacted to receive a Free In Office or Phone Consultation with our Certified Nutritional Counselor or Case Manager.
Instructions
Check the box that applies to you. Check either:
- MILD (problem occurs about once per month)
- MODERATE (problem occurs once per week)
- SEVERE (problem occurs more than once per week, is constant or almost constant)
- LEAVE BLANK (don’t check any boxes if you don’t experience the symptom)
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