You can always press Enter⏎ to continue
Your Chronic Risk at a Glance

Your Chronic Risk at a Glance

Answer these questions to get a "quick look" at your life risks that may be, or will be, contributing to chronic disease or risk. You will get a "preliminary" chronic risk "grade" and some observations at the end of this questionnaire. If you are not happy with your health OR your grade, consider taking the comprehensive Chronic Disease Assessment as a first step to a healthier you.This data is managed in compliance with HIPAA privacy laws. This is being brought to you by One Radio Network and our partner in health - Health Revival Partners.
19Questions
  • 1
    Please fill in all fields
    Please Select
    • Please Select
    • Male
    • Female
    Press
    Enter
  • 2
    Press
    Enter
  • 3
    Press
    Enter
  • 4
    Press
    Enter
  • 5
    Choose any that REGULARLY impact your daily activities.
    Press
    Enter
  • 6
    Press
    Enter
  • 7
    Press
    Enter
  • 8
    Press
    Enter
  • 9
    Press
    Enter
  • 10
    Press
    Enter
  • 11
    Pick your TOP answer only.
    Press
    Enter
  • 12
    Press
    Enter
  • 13
    Press
    Enter
  • 14
    Press
    Enter
  • 15
    Press
    Enter
  • 16
    Indicate how often you snack and what you choose.
    Press
    Enter
  • 17
    Press
    Enter
  • 18
    Select all that apply.
    Press
    Enter
  • 19
    Most restaurants use omega-6 oils like soybean, corn, vegetable and canola.
    Press
    Enter
  • 20
    Press
    Enter
  • 21
    Press
    Enter
  • 22
    Answer this if your depression interferes with your daily living. If you haven't had depression for 10 years or more, answer "Never / Not applicable." Pick ALL that apply.
    Press
    Enter
  • 23
    Also - Indicate if your memory has changed since last year. Select ALL that Apply.
    Press
    Enter
  • 24
    Please select by treatment target - NOT medication name - TOP 5 ONLY.
    Press
    Enter
  • 25
    Press
    Enter
  • 26
    Press
    Enter
  • 27
    Select ALL that apply to you
    Press
    Enter
  • 28
    Press
    Enter
  • 29
    Preliminary GRADE A! You life a healthy life. Consider taking the more comprehensive Chronic Disease Assessment or our unique blood-based assessment - the Chronic Disease Temperature  - as your blood provides the most accurate measurement of your current health and future health and disease potential.
    Press
    Enter
  • 30
    Preliminary GRADE B. You have some chronic health risks. Consider taking the more comprehensive Chronic Disease Assessment or our unique blood-based assessment - the Chronic Disease Temperature  - as your blood provides the most accurate measurement of your current health and future health and disease potential.
    Press
    Enter
  • 31
    Preliminary GRADE C. You have a bunch of chronic health risks that could impact the quality of your health if they haven't already. Consider taking the more comprehensive Chronic Disease Assessment or our unique blood-based assessment - the Chronic Disease Temperature  - as your blood provides the most accurate measurement of your current health and future health and disease potential.
    Press
    Enter
  • 32
    Preliminary GRADE D. You have many chronic health risks that could impact the quality of your health significantly if they haven't already. Strongly consider taking the more comprehensive Chronic Disease Assessment or our unique blood-based assessment - the Chronic Disease Temperature  - as your blood provides the most accurate measurement of your current health and future health disease potential.
    Press
    Enter
  • 33
    Preliminary GRADE F! You have an extreme number of chronic health risks - based on this limited assessment - that could impact the quality of your health significantly if they haven't already. Strongly consider taking the more comprehensive Chronic Disease Assessment or our unique blood-based assessment - the Chronic Disease Temperature  - as your blood provides the most accurate measurement of your current health and future health and disease potential.
    Press
    Enter
  • 34
    Press
    Enter
  • 35

    Risks at a Glance - Observations

    The following summary is observations and must not be construed as medical advice. This “at a glance” survey does not provide enough detail to provide specific recommendations. These observations are based on our vast experience working with Harvard Medical School providers and functional medicine members of our team.

    {supplementsNo}{supplements10}{wellbeingBrain}{wellbeingGut}

    {wellbeingEye}

    {sleep149}

    {oral}

    {food}

    {sweats}

    {medication}

    Consider taking the more detailed "Chronic Disease Assessment" that includes a one hour expert consult to gain a better appreciation for your chronic health risks.

    Press
    Enter
  • 36
    Click SUBMIT on the lower right corner to save and exit.
    Press
    Enter
  • Should be Empty:
Question Label
1 of 36See AllGo Back
close