Health Assessments
It’s not always easy to know where to begin your health journey.
With so much online information, finding the right path can be overwhelming and frustrating.
Your health and any challenges you face in looking and feeling your best are 100% individual journeys, so I have created these health assessments to help guide you along your path to wellness. We want to determine which symptoms are associated with specific health conditions. These assessments can help you identify exactly what you might be struggling with and where you can start to get well.
I aim to ensure you have all the knowledge you need to feel fully empowered as you take control of your health. These assessments are purely for you to understand better why you might not feel 100%, or to get a general idea of where you are.
Please complete the following assessment forms. They will help me determine where you are on your wellness journey. Answer all the questions to the best of your knowledge. If there are questions you are unsure how to answer or are uncomfortable answering, just type “not sure” for your answer.
Once you complete the assessments, I will review your information and contact you shortly to arrange a Zoom call to discuss your results and any protocols we can start implementing in your current wellness practice that fit your bio-individual needs.
If you have any questions, please don't hesitate to reach out at alignedvitalitywellness@gmail.com
* All information is provided for health education purposes only and is not intended to diagnose, treat, cure, or prevent any disease or psychological disorder. All information is private and will not be shared with third-party affiliates, companies, or individuals.
Fill out the "Client Intake Form" and "Release Liability Waiver" only if you plan to register for a wellness plan with me. If you'd like to complete only the health assessments to see where you are, please start with the "Toxicity Assessment" and then proceed to the rest. If you'd like me to look over your assessments, please contact me at alignedvitalitywellness@gmail.com or fill out the contact form below and let me know you have completed the forms.
Client Intake Form:
Release Liability Waiver:
https://www.jotform.com/sign/250353107389053/invite/01jknzsq4xbfaa8f2c717c912b
Toxicity Assessment:
Inflammation Assessment:
Cortisol Assessment:
H. Pylori Assessment:
Essential Fatty Acids Assessment:
Heavy Metal Toxicity Assessment:
Parasite Assessment:
Gut Bacteria Assessment:
Female Hormones Assessment:
Candida Assessment:
Thyroid Assessment:
Vitamin D Assessment:
Vitamin B12 Assessment:
Leaky Gut Assessment:
Vitamin A Assessment:
Vitamin C Assessment:
Male Low Testosterone: Males Only
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