Blood Sugar & Insulin Questionnaire – Natural Health & Wellness Center

Do you have blood sugar (glucose) level issues?*

Do you have insulin concerns?*

Do you have high triglycerides? *

Do you have low HDL ("good") cholesterol?*

Do you have high LDL ("bad") cholesterol?*

Do you have high blood pressure?*

Do you carry excess belly fat? *

Are you overweight?*

Are you physically inactive? *

Do you feel you should eat a healthier diet? *

Name*

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Phone*

Email*