HealthSnapShot
Personal Assessment
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1. What is your gender?
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What is your age?
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3. MY HEALTH QUIZ- 22 Items
22 Yes/No Questions
1. Do you feel that your health has gotten worse over the past 2 years?
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2. Have you lost or gained more than 10% of your body weight over the past 5 years—even though you weren’t intentionally dieting?
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3. Do you have trouble going to sleep or staying asleep?
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4. Does pain in your joints or muscles limit your physical activity or mobility?
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5. Do you commonly feel fatigued for no apparent reason?
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6. Are you frequently depressed or anxious?
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7. Do you have problems with memory?
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8. Is there a consistent ringing in your ears?
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9. Do you feel that you are losing your strength?
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10. Do you take any prescription medications? Do you take more than 2?
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11. How about over the counter medications? Do you commonly take any of these: Anti-inflammatory; Antacids; Analgesics; Sleep remedies?
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12. Do you suffer form allergies?
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13. Do you occasionally have episodes of poor concentrations or confusion?
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14. Do you commonly suffer from shortness of breath or feel winded?
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15. Have you lost any of your sense of taste or smell over the past few years?
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16. Do you feel that you have lost a significant amount of muscle mass over the past few years?
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17. Have you heard from your doctor that you have any of the following: Elevated Blood Pressure; Elevated Blood Cholesterol; Elevated Blood Glucose?
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18. Have your dentist told you that you have gum or periodontal disease?
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19. Do you frequently alternate constipation and diarrhea or feel pain or discomfort in your digestive area?
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20. Have you been told that you have chronic bad breadth?
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21. Are you shorter than you use to be? Had any evidence of calcium deposits?
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22. Do you catch every cold and flu that’s going around?
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4. If you knew what to do be be healthy, would you do it?
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5. I blog so you can have better information to make your health decisions. What would you like to know more about?
6. PLEASE RE-CONFIRM WHO YOU ARE BELOW SO YOU CAN GET YOUR RESULTS!
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