Q1: HOW WOULD YOU DESCRIBE YOUR DAILY ENERGY LEVELS? *

Consistently great

Up and down

Low most days

Exhausted, even after sleep

Q2: HAS YOUR WEIGHT CHANGED IN THE PAST 6–12 MONTHS? *

No noticeable change

Slight, but manageable

Gaining even with healthier habits

Rapid or stubborn weight gain, especially around the midsection

Q3: HOW OFTEN DO YOU DEAL WITH BRAIN FOG OR TROUBLE CONCENTRATING? *

Rarely

Occasionally

Frequently

Constantly affecting productivity

Q4: HOW WOULD YOU DESCRIBE YOUR LIBIDO *

Normal for me

Slightly lower

Significantly lower

Nearly nonexistent

Q5: HOW STABLE ARE YOUR MOODS *

Normal for me

Slightly lower

Significantly lower

Nearly nonexistent

Q6: WHAT DOES YOUR SLEEP LOOK LIKE LATELY? *

Restful and consistent

Some disruptions

Trouble falling or staying asleep

Poor sleep every night, waking up tired

Q7: ARE YOU EXPERIENCING TEMPERATURE CHANGES LIKE HOT FLASHES OR NIGHT SWEATS? *

Not at all

Occasionally

Frequently

Severe or disruptive

Q8: HOW OFTEN DO YOU EXPERIENCE JOINT PAIN, INFLAMMATION, OR BODY ACHES? *

No pain

Occasional aches

Frequent discomfort

Chronic inflammation or pain

Q9: DO YOU FEEL LIKE YOUR BODY IS AGING FASTER THAN IT SHOULD? *

Not really

A little

Definitely noticing changes

Absolutely - everything seems "off"

Q10: Overall, so you feel like yourself lately? *

Yes, totally

Not as much

Rarely

Not at all - I don't feel like myself anymore

Report of Results

First Name *

Last Name *

Phone *

Email *

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This self-assessment is intended for informational purposes only and does not constitute a medical diagnosis or treatment recommendation—please consult with us or a licensed provider for evaluation and advice.