What are your current biggest symptoms?
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Low energy & rapid weight gain
PMS, heavy periods, or no period
Bloating, gas, stomach pains, or diarrhea
Brain fog, poor sleep, or burnout
Anxiety, irritability, or mood swings
Difficulty concentrating, allergies, rashes, low mood
All of the above
How many different health strategies have you tried?
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Anti-inflammatory diets, detoxes, fasting
Seed cycling, hormone testing, adaptogens
Gut protocols, elimination diets, probiotics
Nervous system work, breathwork
Multiple medications, limited results
Air filters, mold remediation, still struggling
All of the above
Which weight pattern sounds most like you?
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Can’t lose around midsection despite “clean” diet
Gain during seasons of high stress
Unpredictable, puffy/inflamed quickly
Gain with cycle changes
Gained after antibiotics/meds
All of the above
Skin/sinus/allergy signals lately?
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Seasonal allergies/sinus issues/histamine flares
Cyclical acne or breakouts
None of those stand out
A mix of several
How long has this been going on?
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< 6 months
6–24 months
2–5 years
5+ years
If you could change one thing in the next 90 days, what is it?
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Have steady all-day energy
Balance hormones and feel emotionally even
Eat without gut backlash and de-bloat
Sleep deeply and wake refreshed
Finally start losing weight
Honestly… I need help with all of it
Cycle or hormone changes (or history)
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Heavy/painful/irregular cycles
Post-partum or birth-control related changes
Perimenopause symptoms showing up
No cycle issues / not applicable
Multiple of the above
Sleep pattern (pick the closest)
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Trouble falling asleep/wake 1–3am, feel “tired but wired”
Night sweats/PMS-related sleep disruption
Reflux/bloating keeps me from sleeping well
I sleep fine most nights
All of the above at different times
What’s your digestion like?
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Frequently bloated and/or food sensitive
Gas/constipation/irregular stools most weeks
Changes when I’m stressed
Generally okay
Honestly… it’s a total mess, many of these
What’s your energy like throughout the day?
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I wake up tired and feel worse after exercise
I flip from wired one week to wiped out the next
My energy crashes after meals
I’m running on caffeine/adrenaline/survival
Energy changes with my cycle
These are all me