Frank Dominick Coaching

AGELESS ADVENTURE

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The 50/50 Coaching Method

METABOLIC HEALTH QUIZ

Take the Quiz today to see the health of your metabolism and receive a FREE Metabolic Screening!!

After taking the quiz you will be forwarded to my calendar to schedule your FREE screening. There I will go over the results of the quiz as it relates to your metabolic health.

Full Name *

Email *

Phone *

Experience poor sleep (waking often in the night, trouble falling asleep, trouble staying asleep, less than 7 hours of sleep)?

Yes

No

Experience digestive issues (bloating, gas, constipation, diarrhea, etc.)?

Yes

No

Experience digestive issues with certain foods (dairy, grains, etc.)?

Yes

No

Easily get overwhelmed and stressed? Or are you always stressed?

Yes

No

Experience erratic moods?

Yes

No

Have low energy or energy swings?

Yes

No

Struggle with being overweight or underweight?

Yes

No

Struggle with gaining or losing weight?

Yes

No

Gain weight easily?

Yes

No

Have hormone issues (irregular or painful periods with cramping, PMS, menopausal issues and symptoms, early menopause)?

Yes

No

Have erectile dysfunction or prostate issues?

Yes

No

Have vitamin and mineral deficiencies?

Yes

No

Have strong sugar or salt cravings?

Yes

No

Binge eat?

Yes

No

Lack sex drive?

Yes

No

Have skin issues (dryness, rashes, age spots, etc.)?

Yes

No

Have brain fog and/or are lethargic?

Yes

No