Weight Loss Assessment

Answer a few questions to get personalized weight loss recommendations.

What You'll Get:

✓
Five-Engine Health Score Comprehensive evaluation across five health dimensions
✓
Personalized Recommendations Tailored treatment options based on your results
✓
Real-Time Insights See your health baseline as you complete the assessment

About 8 minutes to complete

HIPAA-compliant & secure

Question 1

What is your gender? *

FEMALE MALE

Question 2

What is your date of birth? *

Month

Day

Year

Question 3

What is your current height and weight? *

Height

ft

in

Weight

lbs

Question 4

What is your primary weight loss goal? *

Lose 10-20 lbs Lose 20-50 lbs Lose 50+ lbs Maintain current weight

Question 5

How would you describe your typical diet? *

Question 6

How often do you exercise per week? *

5 or more times 3-4 times 1-2 times I rarely or never exercise

Question 7

How many hours of sleep do you typically get per night? *

Less than 5 hours 5-6 hours 7-8 hours More than 8 hours

Question 8

How would you rate your daily stress levels? *

Low Moderate High Very High

Question 9

What has been your experience with weight loss in the past? *

Never had lasting success Some success, but gained it back Good success, maintained for a while This is my first serious attempt

Question 10

Do you find yourself eating due to stress, boredom, or other emotional cues? *

Often Sometimes Rarely Never

Question 11

Have you been diagnosed with any conditions that can affect weight? *

Thyroid Issues (e.g., Hypothyroidism)

Polycystic Ovary Syndrome (PCOS)

Insulin Resistance or Pre-diabetes

None of the above

Question 12

How motivated are you to make lifestyle changes to achieve your weight goals? *

Very motivated Somewhat motivated Not very motivated I'm not sure

Question 13

What is your primary body composition goal? *

Lose Fat Build Muscle Both

Question 14

Do you have a strong support system (family, friends) for your health journey? *

Yes, very supportive Somewhat supportive No, I am mostly on my own

Question 15

How confident are you in your ability to achieve your weight loss goals? *

Very confident Somewhat confident Not very confident

Question 16

Select any symptoms you are experiencing:

Question 17

Enhance Results with Visual Analysis (Optional)

Enhance Results with Visual Analysis (Optional) Upload a photo for AI-powered visual health analysis

HIPAA Protected Medical Images

Your medical photos are encrypted, stored securely, and protected under HIPAA. Images are analyzed by AI and immediately encrypted—they are never stored unprotected or shared with third parties.

No problem! You can skip this step and add photos later from your dashboard.

Question 18

Enhance Results with Your Location (Optional)

Enhance Results with Your Location (Optional) Enable precise location for enhanced results

HIPAA Protected

Your location data is protected under HIPAA and used only to provide locally-relevant health insights. We never share your precise location with third parties.

Enable to share your precise location

Question 19

Add lab results (optional)

Add lab results (optional) Optional: attach a lab PDF to enrich your assessment

HIPAA Protected & Encrypted

Your lab results are encrypted with AES-256 and protected under HIPAA. Only authorized healthcare providers can access your data. Your PDF is processed securely and never stored unencrypted.

No problem! You can skip this step and add lab results later from your dashboard.

Create Your Account

We'll personalize your results and send them to you.

First Name *

Last Name *

Email Address *

Phone Number

For appointment scheduling (optional)

I agree to the Terms of Service and Privacy Policy

We'll email you a secure link to access your results anytime — no password needed.

After you submit, you'll see your results immediately.

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