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Welcome to your Quiz v3
How much weight do you want to lose?
1-15
15-30
30-50
Over 50 LBS
None
What Weight loss methods have you tried in the past?
Diet Program
Exercise Program
Weight Loss Medications
Weight Loss Injections
None
Select Your Focus
(Select All That Apply)
Full Body Detox
Microbiome & Gut Health
Lifestyle Habits
Energy Levels
Lean Muscle
Fat Loss
Brain Fog
Cellular Health
Body Balance
Hormonal Health
Current or Past Conditions
(Select All That Apply)
Pregnant, Breastfeeding, Trying to Conceive
Cancer (Active, Treating Remission less than 2yrs)
Seizures
Kidney Disease Stage 3 or higher
Auto-Immune
Type-1 Diabetes (Born With)
Heart Disease
In a Wheelchair/Immobile / Disabled
how many of the following medications do you take?
Diabetes - 1
Diabetes - 2
Diabetes - 3 or more
Insulin - 1
Insulin - 2
Insulin - 3 or more
High Blood Pressure - 1
High Blood Pressure - 2
High Blood Pressure - 3 or more
High Cholesterol - 1
High Cholesterol - 2
High Cholesterol - 3 or more
Birth Control - 1
Birth Control - 2
Birth Control - 3 or more
Psychotropics - 1
Psychotropics - 2
Psychotropics - 3 or more
Weight Loss - 1
Weight Loss - 2
Weight Loss - 3 or more
Diuretic / Water Pill - 1
Diuretic / Water Pill - 2
Diuretic / Water Pill - 3 or more
Any Surgeries or Implants?
Gastric Sleeve/Bypass
Lipo
Pacemaker
Defibrillator
Implants
Colectomy
None
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