CHW Personal Care Quiz

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Your Personal Care Quiz

Your Personal Care Quiz

Find the care that's right for you. Answer these next few questions, and we’ll help you discover the best treatments for your needs, goals, and lifestyle. All virtual submissions are confidential and will only be shared with your Choice Health & Wellness Provider. This quiz typically takes 3 minutes. If you have any questions, call us.

6Questions

1
Which areas are you interested in treating?
My Face
My Neck
My Chest
My Arm(s)
My Abdomen
My Flank(s)
My Back
My Buttocks
My Thigh(s)
My Lower Leg(s)
My Hand(s)
My Intimate Area
My Overall Wellness
2
My Face ConcernsWhat are you experiencing?
Fine Lines & Wrinkles
Acne or Blemishes
Uneven Skin Tone
Dullness or Texture
Large Pores
Volume Loss (Cheeks, Lips, etc.)
Sagging Skin
Dark Spots or Melasma
Other
3
My Neck ConcernsWhat are you experiencing?
Wrinkling or Crepey Skin
Loose or Sagging Skin
Neck Bands
Hyperpigmentation
Sun Damage
Double Chin or Fullness
Other
4
My Chest ConcernsWhat are you experiencing?
Sun Damage
Age Spots or Freckles
Wrinkling
Redness or Vascular Issues
Loose or Crepey Skin
Other
5
My Arm(s) ConcernsWhat are you experiencing?
Sagging or Loose Skin
Fat Pockets
Cellulite
Skin Texture or Tone
Stretch Marks
Other
6
My Abdomen ConcernsWhat are you experiencing?
Loose Skin
Stretch Marks
Belly Fat or Fullness
Diastasis Recti (Postpartum Muscle Separation)
Other
7
My Flank(s) ConcernsWhat are you experiencing?
Love Handles or Side Fat
Skin Laxity
Stretch Marks
Scaring
Other
8
My Back ConcernsWhat are you experiencing?
Back Fat
Bra Bulge
Acne or Blemishes
Pigmentation
Other
9
My Buttocks ConcernsWhat are you experiencing?
Cellulite
Flatness or Lack of Volume
Stretch Marks
Sagging Skin
Other
10
My Thigh(s) ConcernsWhat are you experiencing?
Inner Thigh Fat
Outer Thigh (Saddle Bags)
Cellulite
Loose Skin
Stretch Marks
Other
11
My Lower Leg(s) ConcernsWhat are you experiencing?
Varicose or Spider Veins
Skin Texture
Swelling or Retention
Other
12
My Hand(s) ConcernsWhat are you experiencing?
Volume Loss
Wrinkling
Age Spots
Dryness or Texture
Other
13
My Intimate Area ConcernsWhat are you experiencing?
Skin Discoloration
Laxity
Dryness or Irritation
Ingrown Hair or Texture
ED (Erectile Dysfunction)
Peeing when Sneezing/Coughing
Lack of Orgasms
Other
14
My Overall Wellness ConcernsWhat are your top wellness goals?
Improve energy levels
Balance hormones
Reduce stress or anxiety
Improve digestion or gut health
Support skin from within
Sleep better
Support healthy aging
Manage weight or inflammation
Other
15
How would you describe your stress levels?
Low and well-managed
Moderate — I feel it occasionally
High — I feel stressed most days
Very high — it’s impacting my health or sleep
16
How's your sleep?
Great — I sleep 7–8 hours and feel rested
Okay — I get sleep but feel tired during the day
Poor — I have trouble falling or staying asleep
17
Do you experience any of the following regularly?
Bloating
Fatigue
Brain fog
Acne or skin flare-ups
Irregular cycles or hormonal shifts
Cravings or blood sugar crashes
Joint pain or stiffness
Mood swings or irritability
None of the above
18
Final Step!
What's your name?
Please enter your email
Please enter a phone number
Please Select
Please Select
Yes, I consent.
I consent to share my information with a Choice Health & Wellness Provider to receive treatment recommendations.
19
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