Discover Your Inner Glow:
Find Out What's Holding You Back from Feeling Your Best!
Full Name
*
How often do you feel low on energy or struggle with fatigue?
Every day, it's a constant battle.
A few times a week, usually in the afternoon.
Rarely, I generally feel energized.
Do you often experience intense sugar or carbohydrate cravings, especially mid-morning or late afternoon?
Yes, almost every day.
Sometimes, but not too often.
Rarely or never.
How do you typically feel after eating a meal?
Extremely tired or sluggish.
Normal, but could use an energy boost.
Energetic and well.
Have you noticed unexpected weight gain, especially around your midsection, despite eating a balanced diet?
Yes, and it’s hard to lose.
I’ve gained some weight, but it’s not a major concern.
No, I don’t struggle with weight gain.
Do you have cold hands and feet or feel cold when others do not?
Yes, quite often.
Occasionally.
Rarely or never.
What is your biggest concern when it comes to your skin?
Dullness or uneven texture.
Fine lines, wrinkles, or sagging.
Acne, breakouts, or redness.
How would you describe your hair health?
Thinning, brittle, or falling out.
Dull and lifeless, lacking shine.
Healthy, but could use some improvement.
How often do you find it hard to focus or experience brain fog?
Daily, it's hard to concentrate.
Occasionally, mostly when I'm tired.
Rarely, my focus is usually sharp.
How would you describe your energy levels throughout the day?
I feel exhausted most of the time.
I have some good moments, but usually feel tired.
I generally have consistent energy.
Do you experience unrefreshing sleep, no matter how much rest you get?
Yes, I never feel rested.
Sometimes, especially during stressful periods.
No, I usually wake up feeling refreshed.
Do you experience muscle pain or joint stiffness without an obvious reason?
Yes, frequently.
Occasionally.
Rarely or never.
How often do you feel overwhelmed by stress or anxious about daily responsibilities?
All the time, it’s hard to manage.
Sometimes, but I can usually cope.
Rarely or never, I feel in control.
Do you often find yourself stuck in negative thoughts or feeling hopeless?
Yes, almost every day.
Sometimes, when things get tough.
Rarely, I usually maintain a positive outlook.
Do you feel like stress and negative thoughts are preventing you from living the life you want?
Yes, I feel trapped by my stress.
Sometimes, but I see ways out.
No, I feel like I’m in control of my mindset.
When you wake up, how do you typically feel about the day ahead?
Anxious or overwhelmed before anything has even happened.
Neutral, I’m just going through the motions.
Positive and ready to take on challenges.