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LV Integrative Medicine Pre-Webinar Survey
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* Indicates required question
What brought you to sign up for this webinar? Check all that apply.
*
Weight concerns
Fatigue concerns
Hyperthyroidism
Hypothyroidism
Hashimotos
Graves' disease
Other:
Required
What symptoms have you experienced? Check all that apply.
*
Weight gain
Anxiety/ Depression
Fatigue
Brain Fog
Trouble falling asleep or staying asleep
Pain
Hearing loss
Painful periods
Low self-esteem
Lack of motivation
Significant mood swings
Loss of appetite
Digestive symptoms (ie. bloating, irregular bowel movement, heartburn, indigestion)
Other:
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What have you tried in the past? Check all that apply.
*
Exercise
Diet
Natural remedies
Medication
Hormone therapy
Other:
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What is your biggest motivation to solve your health concerns? Check all that apply.
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To look and feel like myself again
To get off medications
For my family
To live a healthier life
I want to avoid what other family members have gone through
Other:
Required
What are you looking for in your healthcare provider? Check all that apply.
*
Uses a more natural approach to treat me
Is interested in finding the root cause of my health concerns
Creates a personalized health plan for me
Holds me accountable to accomplish my health goals
Educates me on what is going on with my body
Other:
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What other topics would you like to see in a webinar? Check all that apply.
*
Adrenal insufficiency
Diabetes
Cardiovascular disease
Brain health
Infertility
PCOS
Gut health
Other:
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What do you hope to learn during this webinar?
*
Your answer
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