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3 Month Programme

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Single Consultation

3 Month Programme

7 day Reset Free download

Appointment Form

Folder: Services

Single Consultation

3 Month Programme

7 day Reset Free download

Appointment Form

Health Assessment Form

Health Assessment

Answer 25 questions to receive your personalized health analysis

1. How would you describe your overall energy levels?

I feel energetic and vital most of the time My energy varies throughout the day I often feel tired and sluggish I feel constantly exhausted

2. How is your digestion?

Excellent, no issues Occasional bloating or discomfort Frequent digestive problems Severe and persistent digestive issues

3. How would you describe your sleep quality?

I sleep deeply and wake refreshed I sleep okay but sometimes wake during the night I have difficulty falling or staying asleep I have severe insomnia

4. How do you handle stress?

I manage stress well I feel stressed occasionally I feel stressed most of the time I feel overwhelmed and anxious constantly

5. How is your skin condition?

Clear and healthy Occasionally dry or oily Persistently dry, oily, or irritated Severe skin problems (eczema, acne, etc.)

6. How often do you experience headaches?

Rarely or never Occasionally Frequently Daily or severe migraines

7. How is your appetite?

Healthy and regular Sometimes too hungry or not hungry enough Poor appetite or constant cravings Severe appetite problems

8. Do you experience any pain or inflammation?

No pain or inflammation Occasional minor aches Frequent pain or inflammation Chronic severe pain

9. How is your mood generally?

Positive and stable Occasional mood swings Frequently low or irritable Severely depressed or anxious

10. How often do you get colds or infections?

Rarely Once or twice a year Frequently Very frequently, slow to recover

11. How is your concentration and mental clarity?

Sharp and focused Occasionally foggy Frequently foggy or forgetful Severe brain fog and memory problems

12. How would you describe your body temperature?

Comfortable most of the time Sometimes feel too hot or cold Often feel too cold Often feel too hot

13. Do you experience any joint or muscle stiffness?

No stiffness Occasional stiffness Frequent stiffness Severe chronic stiffness

14. How is your thirst?

Normal, drink adequate water Sometimes forget to drink Always thirsty No thirst at all

15. How would you describe your bowel movements?

Regular and healthy Occasionally irregular Frequently constipated Frequently loose or diarrhea

16. Do you experience any respiratory issues?

No issues Occasional congestion or cough Frequent issues Chronic respiratory problems

17. How is your menstrual cycle (if applicable)?

Regular and comfortable / Not applicable Occasionally irregular or mild discomfort Frequently irregular or painful Severely irregular or very painful

18. How do you feel after eating?

Satisfied and energized Sometimes bloated or tired Frequently uncomfortable Always feel worse after eating

19. How is your weight?

Stable and healthy Slight fluctuations Difficulty losing weight Unexplained weight loss or gain

20. Do you have any food sensitivities or allergies?

No sensitivities One or two known sensitivities Multiple sensitivities Severe allergies or many sensitivities

21. How is your urination?

Normal frequency and color Occasionally frequent or infrequent Frequently urgent or infrequent Severe issues (pain, very dark, etc.)

22. How is your libido?

Healthy and normal Occasionally lower than usual Frequently low Very low or absent

23. Do you sweat easily?

Normal sweating Slightly more or less than normal Very little sweating Excessive sweating

24. How is your vision?

Clear and healthy Occasionally blurry or dry eyes Frequently blurry or strained Significant vision problems

25. How would you rate your overall health?

Excellent Good Fair Poor

Your Health Assessment Results

Personalized insights based on your responses

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