How would you describe your belly right now? *

Bloated and uncomfortable, especially after meals

Holding onto weight, especially in the middle

It's always been an issue, nothing helps

Normal-ish, but digestion is inconsistent

Your energy throughout the day feels like... *

A rollercoaster-up then down

Always low, no matter how much I rest

Okay-ish, but crashes happen randomly

I'm faking it most days

When it comes to sleep... *

I fall asleep okay but wake up tired

I can't fall asleep or stay asleep

I sleep fine but wake up groggy

Sleep feels pointless- I never feel refreshed

Your current health support looks like... *

I'm taking a few supplements and hoping for the best

I'm on multiple meds and still don't feel better

I'm DIY-ing based on podcasts or social media

Nothing, I've kind of given up trying

Your brain lately is ... *

Foggy- I'm forgetting things or can't focus

Tired but sharp when it needs to be

Totally clear and productive most of the time

Not what it used to be, but doctors say I'm fine

Your biggest daily frustration is ... *

My weight won't budge

I can't think clearly or focus

My bloating, gas, or stomach drama

Feeling dismissed by my doctor

Your mood most days feels like... *

Anxious or reactive for no reason

Low, unmotivated, or emotionally flat

Frustrated- I'm not being heard

Depends on how bloated or drained I feel

What's your relationship with food? *

I eat "healthy" but still gain weight

I crave sugar, carbs, or caffeine daily

I'm eating less and still feel awful

I avoid food groups but still have symptoms

You've been to the doctor and they said... *

"Everything looks normal"

"It's just stress or hormones"

"Try losing weight" with no real help

"It's aging" and handed me a script

Pick the phrase that feels most true: *

I'm constantly tired but wired

I'm bloated and inflamed 24/7

I don't recognize myself lately

I've been dismissed more times than I can count

What happens after you eat a full meal? *

Honestly, I usually regret eating at all

My mood tanks or I get brain fog

I feel sleepy or sluggish for hours

I bloat and feel heavy right way

Your stress response lately feels like... *

My stomach turns to knots

I shut down and can't focus

I snap or feel jittery quickly

I don't even respond anymore- I'm numb

How does your body respond to exercise now? *

It exhaust me for the rest of the day

It makes me bloated or inflamed

I've stopped trying because nothing helps

I feel worse after working out

How do your hormones feel lately? *

I have weird digestive shifts around my period

All over the place- my cycle, moods, cravings

I'm emotionally flat or don't feel like myself

I don't even know what's going on anymore

The one thing you wish someone would finally help help you fix: *

My bloating and stomach symptoms

My chronic exhaustion and sleep

My brain fog and spark

My unexplained health chaos

First Name

Last Name

Email *

Phone *

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