Take this short 15 question quiz to find out!
Please answer the following questions.
1. What is your first name?
2. Are you male or female?
3. How old are you?
4. Do you suffer from any of the following?
Increased or Poor Appetite
Recent and/or unexplained
weightloss or gain.
5. Have you ever been medically diagnosed with a disease?
6. If so, which disease and when were you first diagnosed?
7. Have you or any of your close relatives ever suffered from any of the following?
Other Mental Disorder
8. Do you smoke?
9. Are you currently trying to either lose or gain weight?
10. Have you tried popular diets, products and/or exercise programs that either did not work for you or failed to keep off the weight permanently?
11. If so, which one(s)?
12. Are you concerned about the future of your health, your quality of life and/or longevity prospects?
13. Would you like to learn more on how to optimize your health and prevent future disease?
14. Would you like someone from our clinic to contact you to arrange a free in-clinic consultation?
15. If so, please enter your email address and phone number.
Thank you for taking this quiz. Please press "Submit" and your results will appear on the screen momentarily.
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