top of page
About
Book Online
Shop
Contact
More
Use tab to navigate through the menu items.
Log In
Take this Detox: Get Clean assessment and receive feedback directly from me
1. What’s your name?
2. What is your email address?
3. I feel my health is:
Poor
Fair
Good
Great
4. I currently (or in the past) take medication for 6 months or longer:
Yes
No
5. I drink fresh water daily
6 oz. or less
8 oz. to 12 oz.
16 oz. to 32 oz.
More than 32 oz.
6. I walk or exercise:
Daily
4 - 5 times a week
3 times, or less, a week
I do not walk or exercis
7. I eat a serving of green vegetables:
Daily
3 - 4 times a week
2 or less
I do not eat vegetables
8. The following statements apply to me:
I am often itchy
I have smelly feet
I have cravings for sweet foods
I have belly fat
I get headaches or migraines ofter
I feel anxious, depressed or irritable
I cannot lose weight
Submit Form
bottom of page
