Health Assessment
Introduction
The Health Assessment Questionnaire is approximately 145 questions specifically designed to help Dr. Monk discover any functional problems that you may be experiencing. These may include:

  • Vitamin and mineral deficiencies
  • Hormonal Imbalances
a. Hyperthyroidism
b. Hypothyroidism
c. Blood sugar imbalances
d. Female menstrual imbalances
  • Adrenal gland fatigue
  • Digestive Problems
a. Leaky Gut Syndrome
b. High stomach acid (Hyperchlorhydria)
c. Low stomach Acid (Hypochlorhydria)
d. Food allergy possibilities
e. Fungal (Candida) possibilities
  • And more.


Fax: 303.721.2943
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Please give yourself 15 minutes or so to complete the entire questionnaire. There is also room for additional comments if you feel the questions did not fully match your specific complaints. If you are having trouble reading the form (some browsers don't work as well), click the BACK button and print the form from below. You may then bring it with you to your appointment, or fax it to Dr. Monk. Note: The NEUROTRANSMITTER ASSESSMENT is only available via PDF file below.