Functional Metabolism Assessment

This is a judgment free zone. Please be as detailed and honest as possible. If I don't know about something, I can't help you with it.

Do you have any diagnosed medical conditions? Please describe any diagnoses and treatments.*

Do you take any medications or supplements? Please list, explain purpose, and dosing/schedule. *

What are your current health goals? Please be detailed in what you are looking to achieve.*

What have you already tried to solve your health challenge?*

Describe your current nutrition plan. Give an overview of the types and portions of foods and eating schedule. Are there any foods you intentionally avoid (allergies, dislikes, or based on beliefs around those foods)?*

What percentage of your food is prepared at home (vs prepared/restaurant foods)? *

Who does the bulk of the grocery shopping and food preparation?*

Do you use any health technologies (food trackers, wearables, at home tests, etc)? What insights have you gained or are you looking to gain from these? *

Do you drink caffeinated beverages? What type and how many?*

What other beverages do you consume? *

How would you rate your energy throughout the day? Does it dip at certain times? Do you struggle to get going? *

Do you consume alcohol? If yes, how much and how often? *

Do you smoke or use any recreational drugs? *

How would you rate your current stress level? What do you do to manage stress?*

Do you exercise regularly? What types? Home, gym or outdoors? How do you rate your fitness level?*

What interested you about this assessment? What information are you hoping to get from this?*

Are you currently working with any practitioners on your health (personal trainer, acupuncturist, medical doctor, nutritionist, etc.)? Are you looking for a practitioner to help guide you in accomplishing your goals? *

Do you have recent lab work or other outside information you'd like to send as a part of this assessment? Instructions to follow. *

Yes

Are you interested in getting a new comprehensive blood test done for up-to-date baseline information? *

Yes

By submitting my email, I agree to receive email communications from Andrea. By submitting my phone number, I agree to receive phone calls or text messages from Andrea regarding this assessment.