LLB - Nutritional Assessment

Nutritional Assessment

Take our assessment to learn where you stand nutritionally. Fill in each circle that represents a true “yes” statement for you.
Select all that apply:

I need to lose 20 (or more) pounds.I am “on a diet” more often than not.I am often under a lot of stress.I don’t have time/don’t know how to food prep.I often have to eat on the run.I eat out three times (or more) times per week.I eat packaged foods/meals two (or more) times per week.I consume soda or energy drinks on a regular basis.I consume less than 64 ounces of a water daily.I have specific foods I find hard to resist or crave regularly.I always choose low fat and low calorie food options.I often have digestive issues (bloat, constipation, etc.).I get all of the nutrition I need from food and don’t use supplements/vitamins.I drink more than one alcoholic beverage three (or more) times per week.I often eat when I feel stressed or worried.I suffer from regular headaches, sinus issues, asthma, and/or allergies.I have high blood pressure and/or take blood pressure medication.I take more than one prescribed medication daily.I often feel tired, even after a full night of sleep.I suffer regularly from joint pain and muscle aches.I am concerned about hormonal issues.I have a family history of dementia, Alzheimer’s, vascular/heart issues.I have a family history of diabetes, heart disease, and/or cancer.I use sugar substitutes on a regular basis. (Splenda, NutraSweet, etc.)I have an injury that limits my ability to workout.
Name*

First NameLast Name
Phone Number*
Enter a phone number to get started today!
Email*
Should be Empty: