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SERVICES
All Services
TeleHealth Services
Functional Medicine
Holistic Nutrition
Acupuncture
Homeopathy
Health Coaching
Self Assessments
Health Check Quiz
Insomnia Quiz
Toxicity Questionnaire
CONDITIONS
PLANS
ABOUT
Our Center
Our Team
Contact Us
Our Methodology
How It Works
FAQ’s
Careers
Special Offers
Submit Reviews
Testimonials
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Health Check Quiz
Select the severity of symptoms occurring presently or in the past 6 months.
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Immune Health
-
Step
1
of 8
Runny or drippy nose
None
Mild
Moderate
Severe
Catch colds at the beginning of winter
None
Mild
Moderate
Severe
Mucus producing cough
None
Mild
Moderate
Severe
Frequent colds or flu
None
Mild
Moderate
Severe
Other infections
None
Mild
Moderate
Severe
Acne (adult)
None
Mild
Moderate
Severe
Itchy skin (dermatitis)
None
Mild
Moderate
Severe
Cysts, boils, rashes
None
Mild
Moderate
Severe
History of epstein-bar, mono, herpes, shingles, chronic fatigue syndrome,hepatitis, or other chronic viral condition
None
Mild
Moderate
Severe
Next
Bloating, belching, gas
None
Mild
Moderate
Severe
Heartburn or acid reflux
None
Mild
Moderate
Severe
Sense of excess fullness after meals
None
Mild
Moderate
Severe
Feel better if you don’t eat
None
Mild
Moderate
Severe
Stomach pains or cramps relieved after a bowel movement
None
Mild
Moderate
Severe
Diarrhea, chronic
None
Mild
Moderate
Severe
Constipation, chronic
None
Mild
Moderate
Severe
Undigested food in stools
None
Mild
Moderate
Severe
Food allergies or sensitivities
None
Mild
Moderate
Severe
Asthma, sinus infections, stuffy nose
None
Mild
Moderate
Severe
Sinus congestion, "stuffy head"
None
Mild
Moderate
Severe
Previous
Next
Abdominal bloating
None
Mild
Moderate
Severe
Brain fog/trouble concentrating
None
Mild
Moderate
Severe
Low mood
None
Mild
Moderate
Severe
Frequnt yeast or fungal infections of any kind (skin, nails, athlete's foot,other)
None
Mild
Moderate
Severe
Use antibiotics extensively
None
Mild
Moderate
Severe
Use cortisone or prednisone frequently
None
Mild
Moderate
Severe
Used birth control pills for more than 1 year
None
Mild
Moderate
Severe
Recurring sinus or ear infections
None
Mild
Moderate
Severe
Chronic fatigue
None
Mild
Moderate
Severe
Chronic eczema, skin rashes or itching
None
Mild
Moderate
Severe
Uncontrollable sweet or carb cravings
None
Mild
Moderate
Severe
Previous
Next
Low energy, fatigue, lethargy
None
Mild
Moderate
Severe
Mentally sluggish, trouble concentrating
None
Mild
Moderate
Severe
Feel cold easily, especially hands and feet
None
Mild
Moderate
Severe
Gain weight easily or struggle losing weight even with good diet
None
Mild
Moderate
Severe
Chronic constipation
None
Mild
Moderate
Severe
Excessive hair loss
None
Mild
Moderate
Severe
Thinning or loss of outside third of eyebrows
None
Mild
Moderate
Severe
Depression, lack of motivation
None
Mild
Moderate
Severe
Dry skin
None
Mild
Moderate
Severe
Menstrual problems
None
Mild
Moderate
Severe
Recurrent headaches
None
Mild
Moderate
Severe
Previous
Next
Crave salt or sugar
None
Mild
Moderate
Severe
Trouble getting up in the morning
None
Mild
Moderate
Severe
Continued fatigue, not relieved by sleep or rest
None
Mild
Moderate
Severe
Decreased ability to handle stress or get stressed easily
None
Mild
Moderate
Severe
Low mood
None
Mild
Moderate
Severe
Brain fog or poor mental clarity
None
Mild
Moderate
Severe
Higher energy after dinner or before bed
None
Mild
Moderate
Severe
Feel stressed, overwhelmed, and exhausted
None
Mild
Moderate
Severe
Weak immune system (susceptible to cold/flu)
None
Mild
Moderate
Severe
Excessive need for sleep
None
Mild
Moderate
Severe
Depend on coffee to keep yourself going or started
None
Mild
Moderate
Severe
Get lightheaded or irritable if meals are missed
None
Mild
Moderate
Severe
Feel shaky, jittery, tremors
None
Mild
Moderate
Severe
Agitated, easily upset, nervous
None
Mild
Moderate
Severe
Previous
Next
Premenstrual ar menopausal mood swings or food cravings
None
Mild
Moderate
Severe
Irregular periods
None
Mild
Moderate
Severe
Menstrual headaches or migraines
None
Mild
Moderate
Severe
Excessive cramping, bleeding or breast tenderness before or during menses
None
Mild
Moderate
Severe
Postmenoausal discomfort (Hot flashes/Night sweats, weight gain, insomnia, mental dullness)
None
Mild
Moderate
Severe
PCOS (Polycystic Ovarian Syndrome)
None
Mild
Moderate
Severe
Uterine Fiboids or Endometriosis
None
Mild
Moderate
Severe
Fibrocystic breasts
None
Mild
Moderate
Severe
Trouble sleeping
None
Mild
Moderate
Severe
Previous
Next
Muscle weakness or reduced muscle mass
None
Mild
Moderate
Severe
Reduced sense of well being
None
Mild
Moderate
Severe
Reduced libido
None
Mild
Moderate
Severe
Moodiness, lack of motivation
None
Mild
Moderate
Severe
Apathy or reduced purpose
None
Mild
Moderate
Severe
Increased blood sugar levels
None
Mild
Moderate
Severe
Increased abdominal fat or carb cravings
None
Mild
Moderate
Severe
Joint aches and pains
None
Mild
Moderate
Severe
Bone loss
None
Mild
Moderate
Severe
Previous
Next
First Name
*
Last Name
*
Email
*
Phone
*
I agree the Health Check Quiz results are for information purpose only and are not designed to treat your specific conditions. It is highly recommended you consult your Functional Medicine physician or healthcare practitioner for your individual healthcare needs.
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