Stilwater Wellness Assessment

What was your last tested HbA1c levels

What is your fasting sugar levels

Are you on medications for Diabetes? Please specify the same

Are you on Insulin? Please mention units taken in a day

Yes No

What is your blood pressure levels

Do you take any medications for managing Blood Pressure?

Have you seen any doctor for depression?

Yes No

Do you take any medications to manage your depression?

Have you seen any doctor for anxiety?

Yes No

Do you take any medications to manage your anxiety?

How much sleep do you get on average?

Do you take any sleep aid medications?