Stress Test


Welcome to your Stress Test. Please answer each question below to identify if stress is the hidden villain for stopping you on losing weight.

Today's Date: November 19, 2017

Please check off any symptoms you have experienced in the last six months:
Which of the above bothers you the most?
How long has it been going on?
How does this affect your life, activities, hobbies, family, work, attitude, exercise, duties?
If you could change one thing about your health, what would it be?
Would you like to get rid of the problem?
If your answer is yes, please select from the choices below:

Thank you for taking the time for answering our stress test! Please enter your details below, so we can get in contact with your results!

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