RISK QUIZ

Fill out this form to take our Risk Quiz:


  • Healthier Life Rx Quiz

  • Have you been diagnosed or told by a healthcare provider/physician with one or more chronic condition(s)? – such as pre-diabetes, heart disease, high blood pressure, cancer, diabetes, arthritis, high cholesterol, obesity or others?
  • Do you have a family history of one or more chronic conditions including family members with obesity?
  • Find your height on the chart below. Do you weigh as much or more than the weight listed for your height?
  • Height Weight 1
    Height Weight 2
  • Do you believe that there are health risks associated with not making the lifestyle changes required to address this health goal?
  • Are you willing to make this program a priority, working with a lifestyle coach to make the changes necessary to reach this goal? This includes meeting every week for the first 8 sessions, moving on to monthly sessions and completing tasks independently.
  • This field is for validation purposes and should be left unchanged.

 

For more information, call (407) 204-2320,
email [email protected], or SFAX: 1-844-634-1397