How do you usually feel in the mornings? *

Puffy and uncomfortable

Exhausted, even after a full night’s sleep

Irritable, moody, or weepy for no reason

Craving sugar or carbs right away

How would you describe your energy levels throughout the day? *

Crash in the afternoon, need caffeine to survive

Tired all day, never really get going

Up and down with mood swings

Bloated, uncomfortable, or sluggish after meals

Which of these feels most frustrating right now? *

Constant bloating, constipation, or stomach issues

Hair thinning, brittle nails, or always cold

PMS from hell, irregular cycles, or low libido

Can’t lose weight no matter what you eat

How’s your sleep? *

Restless, hard to stay asleep

Can sleep 8+ hours and still wake up tired

Wake up at 2–3am craving food

Wake up feeling heavy or nauseous after late-night eating

When it comes to cravings… *

Sugar and carbs are calling my name daily

Salty, crunchy foods before my cycle

Food intolerances leave me bloated or gassy

No appetite, or it’s inconsistent

If you could fix one thing right now, what would it be? *

Energy

Weight

PMS/Mood

Bloating