Alo Health's Online Screening

Health and Wellness Needs Assessment

To discover which programs or services may benefit you and your health goals, we'll ask some questions and offer valuable feedback when complete.

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* 1. Full name including middle initial

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* 2. Email address

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* 3. Phone number

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* 4. My primary health goal is related to the following:

Preventative health - I want to prevent a future potential health issue. This issue may or may not run in my family, but I'd like to keep any contributing genes "locked up" or maintain a balanced body for continued health.

My main goal is to lose weight. Other than my weight goal, I am in very good health, am NOT on prescription or over-the-counter medications, don't have ANY diagnosis given to me by my doctor and haven't had surgery in the last year (except childbirth-related).

My main goal is to lose weight, but I also want to overcome a health issue or symptoms. I EITHER experience symptoms, am on prescription or over-the-counter medications, have had surgery, OR have been given a diagnosis. To lose weight AND get healthier would be amazing! (Disclaimer-Alo Health doesn't diagnose, treat, prescribe for or perform medically. We offer nutrition-based wellness support only.)

My main goal is to recover from digestive-related symptoms. These may include constipation, diarrhea, gas/bloating, irritable bowel, bloody stools, colitis, heartburn/acid reflux, ulcers, gall bladder issues and others. (Disclaimer-Alo Health doesn't diagnose, treat, prescribe for or perform medically. We offer nutrition-based wellness support only).

My main goal is to recover from non-digestive-related symptoms. These may include headaches, fatigue/exhaustion, hormone imbalance issues (hot flashes, infertility, acne), widespread chronic pain, depression/anxiety, food sensitivities, allergies, poor immunity, autoimmune issues and others. (Disclaimer-Alo Health doesn't diagnose, treat, prescribe for or perform medically. We offer nutrition-based wellness support only).

My main goal is to recover from an acute (short-term) health issue. This may include a physical injury, an infection (i.e an ear infection) or gall bladder attack. *While Alo Health doesn't treat acute illnesses, we can offer ways to prevent them from occurring in the first place. (Disclaimer-Alo Health doesn't diagnose, treat, prescribe for or perform medically. We offer nutrition-based wellness support only).