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Wellness Screening
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Do you feel tired throughout the day?
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If patient replied yes to question provider recommends
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Do you have trouble sleeping?
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If patient replied yes to question provider recommends
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Do you struggle with losing weight?
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If patient replied yes to question provider recommends
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Do you have a decrease in strength and endurance?
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If patient replied yes to question provider recommends
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Do you find it difficult for your muscles to recover after a workout?
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If patient replied yes to question provider recommends
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Have you experienced any mood changes?
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If patient replied yes to question provider recommends
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Do you have difficulty concentrating throughout the day?
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If patient replied yes to question provider recommends
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Completed By
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