INTEGRATING NUTRITION AND LIFESTYLE - OPTIMIZING GENETIC POTENTIAL
TIRED OF BEING SICK; SICK OF BEING TIRED - RENEW YOUR CELLS - FILL OUT THE HAQ & MSQ/DQ
CAN'T LOSE WEIGHT OR KEEP IT OFF - LOSE FAT NOT MUSCLE - REAL SCIENCE - FILL OUT THE HAQ & MSQ/DQ
Location:
PROACTIVE HEALTH RESOURCES
3 MILLER ST., Guelph, Ontario, Canada N1L 1P1
Office & Research Facility: (519)821-7498
Fax: (519)767-1716 e-mail: phrx@rogers.com
Health Appraisal Questionnaire
Please feel free to download the Health Appraisal Questionnaire (HAQ) and the Medical Symptom/Detoxification Questionnaire.
The file, 40718HAQ_with_Registration.doc, is a scanned document placed into a Word File for your convenience. Eventually, we plan to have this file available for our clients to complete and submit on this site, however we are not at that stage yet with this page. The file is over 900kb in size and therefore may take a few minutes to download depending on the speed of your internet access.
The file, Detox_Questionnaire_Adobe.pdf is in Adobe Acrobat format for your convenience of quicker downloading. You must have Adobe Acrobat to print this file. It is about 442kb in size, and therefore may also take a few minutes to download depending on the speed of your internet access.
After you have downloaded the files, please print them out and plan to spend about 50 minutes completing the questionnaires. They address your health in specific areas and will assist our scientists in their recommendations for nutritional support.
Once the files are completed, you may either fax or mail them into our office, the coordinates for which can be found above. Please allow for 1 week, after we have received your completed questionnaires, to analyze them before requesting an appointment with Susan DeBoer to go over your results. You will want to also request the Bio Impedance Analysis (BIA) during your visit to provide you with a documentation of your starting point prior to beginning a nutritional protocol. Together with the HAQ, MSQ and BIA, you will be well on your way to monitoring and progressing into a Healthy Zone for your future.
The total fee for the HAQ & MSQ Analyses, the BIA and a 90 minute consultation with Susan DeBoer is $90 CDN. With this information, you will not only have a detailed understanding of your starting point along with a definitive plan to work toward achieving your goals, but you will also be confident in knowing that you can maximize an approach to achieving those goals at your pace. The integration of nutrition and lifestyle can optimize your genetic potential.
Medical Symptom/Detoxification Questionnaire
