First Name
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Top Wellness Goal
Recover from injury or surgery
Manage a health condition (brain fog, fatigue, chronic pain)
Boost energy and performance
Look and feel younger
Lose weight or reset metabolism
Reduce stress and anxiety
Not sure yet — I would like guidance
Impact Level
1-3 Minor, want to optimize
4-6 Noticeable, slowing me down
7-10 Significant, need help soon
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Timeline
As soon as possible
Within 1-3 months
Just exploring for now
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How did you hear about us?
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TikTok / YouTube
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