Intake Test

You are here: Home / Intake Test


 




1. What symptoms are you currently experiencing?




























2.

On a scale of 1 – 10 (10 is ready to rock) how ready are you to take control of your health?


3. What are you currently doing for your health?











































4. How long do you think it would take to achieve your health and lifestyle goals?

5. Are any of the following currently being impacted by your health?














































0:00
0:00