How would you rate your overall health? *

Excellent

Good

Fair

Poor

What are your primary health concerns? (Select all that apply) *

Fatigue and low energy

Digestive issues (e.g., bloating, constipation)

Chronic pain (e.g., joint or muscle pain)

Weight management

Mood and mental clarity (e.g., anxiety, brain fog)

Hormonal issues (e.g., thyroid, reproductive health)

Other

How long have you been experiencing these issues? *

Less than 6 months

6 months to 2 years

More than 2 years

How often do you exercise? *

Daily

A few times a week

Occasionally

Rarely or never

How would you rate the quality of your sleep? *

Excellent

Good

Fair

Poor

Do you often feel stressed or overwhelmed? *

Rarely

Occasionally

Often

All the time

How would you describe your diet? *

Mostly whole foods, balanced

Balanced but with some processed foods

Unbalanced, high in processed foods

I’m not sure

Which symptoms do you experience most frequently? (Select all that apply) *

Fatigue

Brain fog or poor concentration

Joint or muscle pain

Digestive issues

Mood swings or irritability

Skin problems (e.g., rashes, acne)

How much do these symptoms impact your daily life? *

Not at all

A little

Quite a bit

Significantly

Have you visited specialists to address your health concerns? *

Yes, and it helped

Yes, but it didn’t help

No, I haven’t seen any specialists

Are you open to trying new approaches, such as dietary changes, supplements, or lifestyle adjustments? *

Absolutely

Maybe, I’d like to learn more

Not sure

What are your top health goals right now? (Select all that apply) *

Boost energy levels

Improve digestion

Manage stress

Alleviate chronic pain

Optimize overall wellness

Other

How committed are you to addressing your health concerns? *

Very committed

Somewhat committed

Not very committed

You've completed the assessment!

Before we share your results, would you mind sharing a bit of info so we can stay in touch?

(We'll never spam you, sell, or share your info, and you can opt out any time.)

What is your full name?

What's the best email address for us to reach you at?

One last thing...

That's it!

Ready for your results?

Click Submit!