Nutrition Assessment

How are you feeling?

Take the Nutrition Assessment and I will contact you for a FREE 30 minute consultation

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Check all that apply:

Low energyIrritableCrave sweets/carbsFrequent headachesStressed outMood swingsDepressionTrouble falling asleepTrouble staying asleepOverweightMenstrual crampsHot flashesNervous/anxiousPoor memory High cholesterol/triglyceridesHigh blood pressureFrequent coldsSinus infectionsAllergiesJoint painDifficulty concentratingConstipationPoor digestionBruise easilyCanker soresHave taken antibioticsDull, thinning hairSplitting , breaking fingernails

I have a family history and/or I am concerned about:

Heart DiseaseCancerDiabetesOsteoporsisArthritis

Do you have any other health concerns or symptoms?
Do you follow a special diet? I.e., vegan, gluten free, kosher
Please explain below