Toxicity & Weight Loss Barriers Assessment

This short self-assessment looks at everyday patterns that can make weight loss feel harder — like low energy, cravings, sleep disruption, and digestion issues. Please answer each question based on your experiences in the last 30 days. Fill in your information below and click Next.

Full Name *

Email *

Phone *

* Educational only. Not a medical diagnosis. If you have persistent symptoms or medical concerns, consult a qualified clinician.

I have a comfortable bowel movement at least once daily. *

Almost Always

Often

Sometimes

Rarely/Never

I experience bloating after meals. *

Almost Always

Often

Sometimes

Rarely/Never

I feel sluggish or heavy after eating. *

Almost Always

Often

Sometimes

Rarely/Never

I have irregularity (constipation or loose stools). *

Almost Always

Often

Sometimes

Rarely/Never

I notice frequent gas, reflux, or stomach discomfort. *

Almost Always

Often

Sometimes

Rarely/Never

I eat ultra-processed foods or fast food. *

Almost Always

Often

Sometimes

Rarely/Never

I consume sweets/desserts. *

Almost Always

Often

Sometimes

Rarely/Never

I drink sugary beverages or sweetened coffee drinks. *

Almost Always

Often

Sometimes

Rarely/Never

I snack due to cravings rather than hunger. *

Almost Always

Often

Sometimes

Rarely/Never

I eat within 2 hours of bedtime. *

Almost Always

Often

Sometimes

Rarely/Never

I feel like I need something sweet to “reset” my energy. *

Almost Always

Often

Sometimes

Rarely/Never

I get 7–8 hours of restful sleep. *

Almost Always

Often

Sometimes

Rarely/Never

I wake up feeling refreshed. *

Almost Always

Often

Sometimes

Rarely/Never

I feel chronically stressed, tense, or on edge. *

Almost Always

Often

Sometimes

Rarely/Never

I rely on caffeine to function. *

Almost Always

Often

Sometimes

Rarely/Never

I experience afternoon energy crashes. *

Almost Always

Often

Sometimes

Rarely/Never

I’m exposed to strong fragrances (air fresheners, scented candles, perfumes). *

Almost Always

Often

Sometimes

Rarely/Never

I use harsh chemical cleaners regularly. *

Almost Always

Often

Sometimes

Rarely/Never

I drink filtered water most of the time. *

Almost Always

Often

Sometimes

Rarely/Never

I store or heat food in plastic containers. *

Almost Always

Often

Sometimes

Rarely/Never

I spend time in poor indoor air (stale, dusty, moldy, or poorly ventilated spaces). *

Almost Always

Often

Sometimes

Rarely/Never

I retain water or feel puffy. *

Almost Always

Often

Sometimes

Rarely/Never

I experience brain fog or low mental clarity. *

Almost Always

Often

Sometimes

Rarely/Never

I have stubborn fatigue even after sleep. *

Almost Always

Often

Sometimes

Rarely/Never

I notice recurring skin issues (breakouts, rashes, unexplained itch). *

Almost Always

Often

Sometimes

Rarely/Never

Please confirm you are a human and click Submit: