Assessment
Welcome to the Beta Health Assessment. It's time to feel Beta! Please be as detailed as possible so that we can provide optimal service to take your health to the next level.
First name
Last name
Email
Phone Number
What do you want to improve about your health?
On a scale of 1-10 how good do you feel on most days?
Do you have any ailments? If so please let us know.
Are you interested in: (Check All That Apply)
Losing Weight
Hormonal Replacement Therapy
Enhancing Your Physical Appearance
Managing Your Health
How many pounds would you like to lose?
What have you tried already?
Weight Loss Programs
Nutrition Programs
Fitness Programs
Intermittent Fasting
PRX
Botox
IV hydration
What would you like more information on?
Weight Management
Botox & Fillers
IV Hydration
Hormone Replacement
PRX- Non-Invasive Botox Option
Peptides
Supplements & Injections
IS Clinical
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