step 1

It is advised that you complete this using a laptop or desktop computer. You may run into problems with the site if you use a device such as your smart phone or tablet to complete this screening questionnaire.

step 2

Complete the questions as thoroughly as you can and click ‘Submit’. 

Once you click Submit, you cannot change any answers.

step 3

Schedule a free discovery call to discuss your results with one of the providers on our team.

Please keep in mind the following strict policy that I follow:

• This is a completely free service whether you book an appointment with Revitalize or not
• This is used solely as a tool to understand your current health and see where you can go from there
• We do not send spam emails
• We respect your privacy and do not sell any email addresses