Gut check ✔️
How frequent are your bowel movements?
I go daily
3-5x per week
1-2x per week
Sometimes don't go for weeks
Multiple times per day
How often are you bloated or feel stomach discomfort?
Daily - After most meals
At least a few times a week
Only after a really big/rich meal
Rarely
Do you have skin issues?
Yes - breakouts
Yes - dry skin or eczema
Yes - dull or splotchy
Yes - I look puffy
Not really... pretty happy with my skin.
Which of the following do you experience? Check all that apply.
Irritability or easily frustrated
Frequent anxiety
Feeling down, low energy, lack of motivation
Difficulty losing weight
Frequently catching colds/flu/allergies
Difficulty sleeping
Food cravings
Brain Fog, lack of focus
Do you currently take any supplements or eat foods with probiotics?
Yes I take a probiotic regularly
No, I don't take a probiotic regularly
I get my probiotics from fermented foods (kimchi, sauerkraut etc)
I eat yogurt
Which is easiest for your lifestyle?
Supplements in (yummy) drink form
Taking a pill - easy peasy!
I don't like pills or drinks
I'm pretty flexible...
What are your main health goals?
More energy
Lose weight
Relieve bloating/constipation/stomach discomfort
Feel better overall
If you could waive a magic wand, and change anything about your health/wellness, what would it be?
Almost done! What's your name?
First Name
Last Name
What's your number?
Please enter a valid phone number.
Format: (000) 000-0000.
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