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GeneWise Wellness Assessment
Let’s get to know you
Is your current state of health allowing you live the life you want?
Not at all
Sort of
Very much so
Are you working on improving your health to live your best life?
Not at all
Sort of
Very much so
Is your current state of health allowing you to enjoy all aspects of living a vibrant life – family, hobbies, work, relationships, adventure, etc?
Not at all
Sort of
Very much so
Baseline
Blood Pressure
Do you have high Blood Pressure?
Yes
No
Maybe
Brain Fog/Concentration
Do you experience brain fog, difficulty concentrating, memory problems or forgetfulness?
Yes
No
Sometimes
Energy
Do you have sustained energy level throughout the day?
Not at all
Sort of
Very much so
Gut Issues
Have you experienced any digestive problems – abdominal pain, gas, bloating, diarrhea, or constipation?
Yes
No
Sometimes
Libido
How do you rate your sex drive?
Poor
Ok
Excellent
Mental Health
How often do you experience symptoms of anxiety, depression, constant worries, sadness, or loss of interest in activities?
Very Often
Sometimes
Never
Mood
Do you experience significant mood fluctuations, irritability or short temper?
Yes
No
Sometimes
Thyroid Issues
Have you been diagnosed with any thyroid conditions?
Yes
No
Maybe
Sleep Quality
Do you have any difficulty falling asleep, staying asleep or waking up refreshed?
Yes
No
Sometimes
Weight and Body Composition
Are you satisfied with your current weight and body composition?
Yes
No
Sort of
Get to know us
Our Approach
A good doctor treats symptoms. A great doctor treats the patient. But at GeneWise, we go deeper to the DNA level for comprehensive wellness optimization. We are the bridge to how you feel now to a vibrant life. We address the underlying causes of your health issues. Does this resonate with you?
Yes
No
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