Survey

Crest Health & Wellness is committed to treat your symptoms and get to the root cause of your condition.

First Name

Last Name

Phone

What brings you to Crest? (pick one):

Optimize/improve health

Address unresolved/unexplained symptoms

Help manage a chronic condition

Many people suffer for years with symptoms that can’t be linked to a diagnosis by conventional medicine standards.

How long have you felt unwell?

Less than 1 year

2-3 years

>4 years

Don’t remember

Have you made any changes to your diet because of your symptoms?
yes no

Do you feel you have an excessive amount of stress in your life?
yes no

Are you interested in advanced testing such as:

GI HEALTH

HORMONE HEALTH

METABOLIC HEALTH

INFLAMMATION

NUTRIENT LEVELS

GENETIC TESTING

Although greater than 60% of adults have at least one chronic condition, the majority of health issues are modifiable and can be reversible. Genetics account for < 10% of diseases so it’s important to look at diet, lifestyle, and other factors such as your personal life story to create a plan that can work for you. Advanced testing is key to unlocking your health. We can assess hundreds of markers to develop personalized recommendations.

By clicking Submit, I acknowledge that my information will be sent to Crest Health & Wellness.

Is Functional Medicine Right for You Survey

Many people suffer for years with symptoms that can’t be linked to a diagnosis by conventional medicine standards.