Dr. Hannen Survey

You’re now at one of the most important parts of DrHannen.com…our Online Survey!

You can click into a better way to health and happiness that encompasses your body, mind and spirit. The Hannen Health System is a comprehensive health system that will tell you specific areas that you may need to improve to gain a healthier you! Just follow the easy steps below:

Please check all of the boxes that apply in every section.
Then press the submit button.

After we have evaluated your answers, we will present specific recommendations for you so you can start a healthier life! You may print the suggestions out for future reference. These answers are not stored and no one will ever see your survey except you and your Hannen Health advisor.

So be truthful about yourself for your health’s sake.

The more we know the more accurate your specific analysis will be. And we guarantee that we will never sell or give your name or email address to anyone. This survey is designed for those age 12 and older.

Note: We will never sell or give your information to anyone!

Section B1 Checkbox 1

Section B1 Checkbox 2

Steroid use (anabolic, estrogens, contraceptives) Parasites (numbness and tingling) Unexplained Heart symptoms (arrhythmia, heart pounding) Respiratory Tract Allergies High exposure to certain chemicals (cleaning solvents, pesticides, antibiotics,diuretics, thyroid medicine, nsaids i.e. Tylenol, Ibuprofen)

Section B2 Checkbox 1

Fatigue (unusual) Weakness in Arms or Legs Muscle Pains (fairly constant) Anemic

Section B2 Checkbox 2

Symptoms worse after Dental work Dizziness Tremors Poor Coordination

Section C4 Checkbox 1

Section C4 Checkbox 2

Severely Crave Sugar, Feel Worse After Eating It Itching Chronic Yeast Infection Symptoms Worse on Damp, Muggy Days

Section C5 Checkbox 1

Section C5 Checkbox 2

Eaten Food Out of the USA Within the Last Year Foul Smelling Stools Eat Raw Oysters or Raw Seafood Abdominal Distention Heartburn, Nausea, and Vomiting (all three)

Section C6 Checkbox 1

Section C6 Checkbox 2

Section D7 Checkbox 1

Eat mostly carbohydrate foods (rice, potatoes, pasta, bread, sweets, etc.) Drink sweetened beverages (sodas, sweet tea, Gatorade, juice, lemonade) Eat or crave sweets (deserts, candy, etc) Feel like you have to have something sweet with meal Get shaky (or weak) when hungry Eat fast food more than five times per week

Section D7 Checkbox 2

Section D8 Checkbox 1

First Name*

Last Name*

Email Address*

Phone Number*

Street Address*

City*

State / Province*

Postal / Zip Code*

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