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Complete Your Free Health Assessment

Which one of the below bodies do you most look like? *

Which of the following do you experience 2 or more times per week? *

Muscular or joint pain

Pain from arthritis

Everything hurts or aches

Feeling of being swollen

I have sleeping problems *

I sleep fine and wake up well rested

I have trouble falling asleep

I wake up a lot during the night, toss & turn

I wake up tired

I have been told I snore

I cannot sleep through the night

I need caffeine in the morning to get me going

I am sleepy throughout the day

I find myself dozing off during the day

Mark any of the foods that you crave 3 or more times per week *

Salt

Sugar and/or carbs

Fats

Other

Which of the following do you experience 3 or more times per week? *

Anxiety

Depression

Feeling overwhelmed or stressed

Panic attacks

Which of the following do you experience 2 or more times per week? *

Problems remembering things

Brain fog

Can't focus and/or concentrate, distractible

Cognitive decline

Which of the following are you aware of *

My hair is thinning

My nails are weak

I have high blood pressure

I have high blood cholesterol

I have an autoimmune disease *

Yes

Where are you in your health and weight loss journey? *

I don't really care about my health or weight

I'm ready to get healthy and lose weight once and for all

I'm interested in using semaglutide and/or other peptide treatments

If being overweight is a concern, how much weight would you like to lose? *

Please tell us in detail about the weight and/or health problems that you have struggled with in the box below. *

How motivated are you to work on yourself to feel better? *

I am VERY MOTIVATED to do some work on myself.

I am INTERESTED IN STARTING some changes.

I am UNSURE how much energy I can dedicate to working on myself.

I am NOT READY to participate in changing my routine

Can we please text you to get you scheduled for your free consultation with our director of patient care? It makes life much easier. *

Yes

Thank you for answering the questions. Get your assessment!

First Name *

Last Name *

Valid Email *

Best Cell Phone Number *

State *

How Did You Find Us *

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