Skip to content
Search for:
Functional Medicine Services
Hormone Replacement Therapy
Health Coaching
IV Hydration
NEW
Peptide Therapy
NEW
About
Our Approach
Success Stories
Contact
Blog
Health Quiz
Health Quiz
Web Admin
2021-03-15T20:57:37+00:00
Health Quiz
Take our quiz to learn which program might be right for you.
Are you tired all the time?
Yes
No
Are you happy with your weight?
Yes
No
How is your sex drive?
Great!
OK.
What sex drive?
Which most closely describes your sleep?
I get a restful 7-9 hours of sleep a night.
I get about 4-6 hours of actual sleep a night.
I have trouble sleeping at night.
Do you have any digestive issues, like constipation, bloating, or gas?
Yes, frequent.
Sometimes
No
How mentally sharp do you feel?
I feel sharp!
Not as sharp as 5 years ago but pretty good.
I often experience "brain fog."
How would you describe your level of stress or anxiety?
High
Moderate
Low
Do you have any cravings like sugar, carbs, coffee, chocolate, social media, cigarettes, or alcohol?
Yes, frequently.
Sometimes
Nope!
Do you have multiple medical problems, like high cholesterol, high blood pressure, or high sugar?
Yes
No
How many prescription meds are you on?
None
1-2
3 or more
Do you hurt all the time?
No aches and pains
Some aches and pains
Lots of aches and pains
Do you feel something is wrong with your body and haven't been able to figure it out?
Yes
No
Do you have any allergies?
Yes, and they seem to be getting worse.
Some
No
Any skin concerns?
No, my skin is super healthy!
Some, I would like to look younger.
Yes, lots!
Are you worried about getting Alzheimer's Disease or cancer? Having a heart attack or stroke?
Yes
Kind of
Not really
I give Companion Health, PLLC, permission to contact me by email, phone, or text, which may include unencrypted health information.
Learn more ›
Name
Email
Phone
Time is Up!
Go to Top
