Call (631) 400-1004
Physician supervision available upon request
200 Motor Parkway, D23, Hauppauge, NY 11788
279 Sunrise Highway, 2nd Floor, Rockville Centre, NY 11570

Weight X Med Spa

Drop 4 dress sizes or 4-20 pounds in first month. All natural weight loss program.












Gut bacteria test
  1. What is your age range?
    18-29
    30-39
    40-49
    50+
  2. What body weight category are you?
    Lean
    Average
    Overweight
    Obese
  3. Have you found it difficult to lose weight no matter what you try?
    Yes
    No
    Doesn’t apply
  4. You feel tired:
    Only when it's bedtime
    In the late afternoon
    Around noon
    All the time
  5. How often do you move your bowels?
    Once a day
    Twice a day
    Once every other day
    A few times a week
  6. How many processed foods do you eat a day (anything from a box or package)?
    1 or less
    2-4 servings
    5-9 servings
    10 or more servings
  7. What is the frequency of your alcohol intake?
    Never
    1-3 days a week
    4-5 days a week
    Everyday
  8. How often do you consume artificial sweeteners including Splenda®, Sweet 'N Low®, and/or Equal® found in diet beverages and food items?
    1 to 2 times a week
    3 to 6 times a week
    Every day
    Never
  9. Check the box next to each condition that you experience on a regular basis
    Constipation, gas, bloating,
    Acid reflux or indigestion
    Skin problems (Eczema or acne)
    Overall sickness
    Bad breath
    Urinary tract infections
    Sugar cravings
    Celiac disease, leaky gut, or irritable bowel syndrome
    Depression, anxiety, mood disorders
    Insulin resistance or diabetes
  10. How often do you use laxatives or antacids?
    Never
    1-3 days a week
    4-5 days a week
    Everyday
  11. How often do you chew sugarless gum or use mouthwash?
    Never
    1-3 days a week
    4-5 days a week
    Everyday
  12. How many times have you taken antibiotics during your lifetime?
    Never
    1-3 times
    4-5 times
    More than 5 times
  13. How often do you eat foods with high amounts of sugar including soft drinks and desserts?
    Never
    1-3 days a week
    4-5 days a week
    Everyday
  14. How often do you drink chlorinated (tap) water including unfiltered ice cubes?
    Never
    1-3 days a week
    4-5 days a week
    Everyday
  15. Do you eat organic fruit, vegetables, meats and dairy products or regular store bought varieties?
    Organic
    Regular
  16. How often do you eat foods like unpasteurized raw yogurt (this does not include regular yogurt sold in most grocery stores), sauerkraut, kimchi, fermented vegetables, fermented raw milk (kefir), and tempeh?
    Never
    1-3 days a week
    4-5 days a week
    Everyday