The Pinewood Metabolic Map

A 3-minute pattern questionnaire. This questionnaire looks for patterns in your symptoms and health history that may be useful for education and discussion with a healthcare provider. It is not a diagnostic test and does not determine whether you have a medical condition.

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Response scale. Most questions use: 0 = Never / not at all  ·  1 = Sometimes / mild  ·  2 = Often / moderate  ·  3 = Very often / significant. A few are yes-or-no, and one offers worded choices — just pick the answer that fits best.

A. Basic context

Not scored — this helps put your pattern in context.

Age range

Which best describes your menstrual stage?

What are your main goals? Choose up to 3.

Are you currently taking a prescription medication specifically for weight management?

Have you ever been told by a clinician that you have any of the following? Select all that apply.

Are you pregnant, breastfeeding, or actively trying to conceive?

✓

Almost there — where should we send your results?

Your pattern summary appears on the next screen. We will also send a copy to the Pinewood team so they have it in front of them when you call.

Full name

Email

Phone

So our team can reach you if you would rather we call than you call us.

Preferred location

We use your details to send your results and follow up about your questionnaire. We do not sell or share them.

Quiz and webinar are educational and do not replace individualized clinical assessment, diagnosis, or treatment.
Pinewood Natural Health Centre · Toronto & Pickering · (416) 656-8100