Are you currently using a GLP-1 medication for weight loss?

Not Currently

I am considering it

Yes, Currently

Are you currently taking a GLP-1 medication like semaglutide or tirzepatide?

YES

NO

Which challenge sounds most familiar?

Cravings and appetite control

Low energy during the day

Poor sleep or restless nights

Slow recovery from workouts

How often do you currently exercise?

0–1 days per week

2–3 days per week

4+ days per week

I stay active but don’t train

When you try to lose weight, what usually happens?

I lose weight but lose muscle too

I plateau quickly

I struggle with cravings

Weight loss isn’t my main goal

How would you describe your hydration habits?

I drink plenty of water daily

I try but could improve

I forget to hydrate often

How ready are you for a simple 90-day reset?

I’m ready — I want a plan

I’m interested, but skeptical

I am just researching

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Your results will be on the next page, and we will also email you a copy, along with your special offer.

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