Q1. How often do you feel low energy, shortness of breath, or fatigue even after rest? *

Rarely or never

Sometimes during activity or stress

Often-even when resting

Q2. What’s your current blood pressure range (if you know it)? *

Normal (<120/80)

Elevated (120–139 / 80–89)

High (140+/90+) or I’m not sure

Q3. Select the medication you take regularly *

Blood pressure meds

Blood thinners

Statins

None of the above

Q4. How would you describe your daily habits? *

I eat clean, move often, and manage stress

I try, but life gets in the way

I need a major reset

Q5. What matters most to you right now? *

Better energy and stamina

Lower blood pressure and inflammation

Staying off meds and aging well

All of the above

First Name *

Email *

Phone *

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