***THE CONTENT OF THIS PROGRAM IS FOR EDUCATIONAL PURPOSES ONLY AND IS NOT DESIGNED TO DIAGNOSE, TREAT OR CURE ANY MEDICAL CONDITION. PLEASE BE SURE TO CONSULT YOUR DOCTOR BEFORE BEGINNING ANY SORT OF FASTING OR LIFESTYLE CHANGE**

Welcome to Dr. Charlie Ware’s Health Quiz!

We’re here to support you on your health journey. Take this quick 5-minute quiz to share your symptoms and get personalized insights made just for you.

There are no wrong answers—tick the box next to any symptoms you’re experiencing. Your responses will help us uncover patterns and recommend solutions to enhance your well-being.

Ready? Let’s dive in and take the first step toward better health!

Mouth / Throat Pt. 1 *

Sore throat

Chronic coughing

Swollen / Discolored tongue

Coating on tongue

Choose ALL that applies to you | Click next if none applies to you

Mouth / Throat Pt. 2 *

Cracks corner of mouth

Canker sores

Hoarseness

Fever blisters

Choose ALL that applies to you | Click next if none applies to you

Heart *

Irregular / skipped beats

Chest pain

Rapid / pounding beats

Choose ALL that applies to you | Click next if none applies to you

Lungs *

Chest Congestion

Shortness of breath

Asthma / Bronchitis

Difficulty Breathing

Choose ALL that applies to you | Click next if none applies to you

Energy / Sleep Pt. 1 *

Fatigue

Hyperactivity

Sleep disruptions

Choose ALL that applies to you | Click next if none applies to you

Energy / Sleep Pt. 2 *

Lethargy

Insomnia

Choose ALL that applies to you | Click next if none applies to you

Head *

Headaches

Dizziness

Faintness

Choose ALL that applies to you | Click next if none applies to you

Nose *

Stuffy nose

Excessive mucus formation

Sinus problems

Loss sense of smell

Choose ALL that applies to you | Click next if none applies to you

Nails *

Discolored

Lines / Stripes

Brittle / Cracking

Choose ALL that applies to you | Click next if none applies to you

Hair *

Hair thinning

Loss of outer eyebrow hair

Easy hair pluckability

Choose ALL that applies to you | Click next if none applies to you

Hair Pt. 2 *

Hair loss

Premature greying

Choose ALL that applies to you | Click next if none applies to you

Skin *

Acne

Dry skin

Hives, rashes

Choose ALL that applies to you | Click next if none applies to you

Skin Pt. 2 *

Bumps on back of arms

Excessive sweating

Choose ALL that applies to you | Click next if none applies to you

Immune *

Colds

Chronic infections

Flu

Choose ALL that applies to you | Click next if none applies to you

Genitourinary *

Frequent or urgent urination

Itching

Discharge

Incontinence

Choose ALL that applies to you | Click next if none applies to you

Eyes *

Watery / Itchy eyes

Swollen / Reddened / Sticky eyelids

Night vision problems

Choose ALL that applies to you | Click next if none applies to you

Eyes Pt. 2 *

Yellowing eyes

Bags , dark circles

Blurred vision

Choose ALL that applies to you | Click next if none applies to you

Neurological *

Poor memory

Poor concentration / Brain Fog

Loss of balance

Stuttering or stammering

Choose ALL that applies to you | Click next if none applies to you

Neurological Pt. 2*

Confusion

Poor physical coordination

Tingling in hands or feet

Slurred speech

Choose ALL that applies to you | Click next if none applies to you

Ears *

Itchy Ears

Drainage from ear

Hearing loss

Choose ALL that applies to you | Click next if none applies to you

Ears Pt. 2*

Ear aches, ear infections

Ringing

Choose ALL that applies to you | Click next if none applies to you

Digestive Tract / Gastrointestinal (GI) *

Nausea

Diarrhea

Alternation diarrhea & constipation

Belching

Choose ALL that applies to you | Click next if none applies to you

Digestive Tract / Gastrointestinal (GI) Pt. 2 *

Heartburn

Lower abdominal pain

Vomiting

Constipation

Choose ALL that applies to you | Click next if none applies to you

Digestive Tract / Gastrointestinal (GI) Pt. 3 *

Bloating

Gas / Flatulence

Upper GI pain

Choose ALL that applies to you | Click next if none applies to you

Joints / Muscle / Bone *

Pain or aches in joints

Stiffness / limited movement

Feeling of weak / Loss of strength

Arthritis

Choose ALL that applies to you | Click next if none applies to you

Joints / Muscle / Bone Pt. 2*

Pain or aches in muscles

Restless legs

Broken bones

Choose ALL that applies to you | Click next if none applies to you

Weight *

Underweight

Obese

Overweight

Choose ALL that applies to you | Click next if none applies to you

Weight Pt. 2 *

Weight gain (>5-10lbs)

Weight loss (>5-10lbs)

Fluid retention

Choose ALL that applies to you | Click next if none applies to you

Emotions *

Mood swings

Anger / Irritability / Agitation

Anxiety / Worry / Fear / Nervousness Depression

Depression

Choose ALL that applies to you | Click next if none applies to you

Describe the problem in your own words and how is it affecting your life or the life of your loved ones?

Which of these solutions makes the most sense for your situation?

A: I want the best transformation possible with dedicated 1:1 support, comprehensive testing and analysis, and I have the income to support this

B: I'd be happy with group support and coaching in a monthly membership.

C: I don't have the financial means at the moment, but I am interested in the future.

D: I don't have the financial means and I am not interested in bettering my health.

On a scale 1-10, how committed are you to finding a solution?

1-3

4-6

7-9

10

Ready to see your results?

Full Name

Email *

By moving to the next step, you agree to receive emails with your quiz results, tips, and exclusive offers.

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