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Assessment

Recharge Wellness Assessment

Tell us how you’re feeling, what you’ve tried, and what you’d like to improve. We’ll review your answers and help you determine which options may make sense for your goals.

Takes about 3 minutes.

What would you most like help with?

Select all that apply.

What are you experiencing right now?

Select all that apply.

What’s the biggest problem you’re trying to solve?

Optional — in your own words.

What have you already tried?

Select all that apply.

Do you currently take vitamins or supplements?
Have you previously used any of the following?

Select all that apply.

If we could help you get the outcome you’re looking for, what would be different in your life?

Select all that apply.

Optional.

What matters most to you when considering a treatment or wellness option?

Select up to 3.

0 of 3 selected

Is anything currently holding you back from getting started?

Select all that apply.

Have you had lab work within the last 12 months?
Ready for your personalized next steps?

How would you prefer that we contact you?

How soon are you hoping to get started?

This assessment is for informational purposes only and is not medical advice, diagnosis, or a treatment recommendation. Completing this assessment does not establish a provider-patient relationship. Medical services and prescription treatments require appropriate medical screening and approval.