Welcome to your Health Assessment Quiz for Patients There are 5 Lifestyle factors that create a Wellness Lifestyle, how many do you have? Check all that apply BMI between 18 and 24 Do not smoke Exercise a minimum of 3.5 hours per week Eat whole food based diet with minimal processed foods Have no more than one glass of wine/beer/or other alcohol per day I can’t check any of these! If you know your BMI or body fat percentage is, enter Do you know what your BMI or body fat percentage is? I don't know, but I would like to know Why do I need to know this? It’s irrelevant to my health! Do you know what your Vitamin D level is? 20 - 34 ng/mL 35 - 44 ng/mL 45 - 54 ng/mL 55 - 65 ng/mL I do not know Do you have a supplement regimen that supports your health & wellness? Yes and its been working really well Yes but it’s not consistent or doesn't seem to make a difference Supplementation is overrated. What are your top two health issues that you would like to manage with Functional Health? Digestion support- bloating, gas or constipation Adrenal support- wired and tired Thyroid support- hair loss, always good, hard to lose weight Liver support- too much processed food and alcohol, fat around the midsection Blood Sugar support- Type II Diabetic, gaining fat, losing muscle Weight Management- gaining 10 lbs per year, can’t lose weight, eat too much When was the last time you had a Full Blood Panel (CBC, Metabolic, Lipid, Thyroid, A1c, hs CRP, Vit D) Within the year It has been awhile, more than 2 years Why do I need to get blood work? Has your practitioner ever gone over your blood work with you, in detail? Yes, my health care provider has explained in detail all the panels I kind of know what some of them mean My health care practitioner says everything is in “range” I see the numbers but have no idea what they mean Do you have a plan of action to improve or maintain your health and wellness? Yes, I follow it perfectly and my health reflects that Don’t really have a plan, just try to do something healthy every day Really need help creating something that works for me and easy to follow Name Email Time's up