Age
18-24
25-34
35-44
45-54
55-65
65 or older
Gender
Male
Female
Household Income
Less than 25,000
26,000 to 49,000
50,000 to 74,000
75,000 to 100,000
101,000-150,000
150,000 or more
How would you rate your overall health?
Excellent- I have no health concerns. I feel my best.
Very good- I feel healthy with minor or occasional
Good- I have some health concerns, but I managed them well.
Fair- I have ongoing health issues that sometimes impact m
Poor- I have serious health concerns that significan
Do you have health insurance?
Yes
No
Which of the following medical services would you be interested in? (Select all that apply)
IV Hydration Therapy (for hydration, energy, and recovery)
Immunity Injections ( Vitamins and boosters)
Hormonal Testing (for hormone balance and wellness)
Blood Analysis (detect parasites immune disorders and parasitic diseases)
Weight Loss Programs (biodentical weight manage
Hyperbaric Oxygen Therapy (boost healing, circulation, and cognitive function)
Stem Cell & Exosome Therapy (Regenerative treatments for anti-aging, joint pain relief, and tissue repair)
Testosterone Replacement Therapy (TRT) to improve energy, libido, muscle mass, and cognitive function in aging men.
Bioidentical Hormone Therapy (BHRT) improve hormonal imbalances, menopause, or low testosterone
Light Therapy (for skin health, pain relief, and moo
Cryotherapy (extreme cold to destroy abnormal tissue or treat pain.
Medical Aesthetics
Electrolysis removes unwanted hair by a probe and electric current
Which factors most influence your decision to purchase health and wellness services? (Select up to three)
Price
Quality of service
Recommendations from friends/family
Online reviews
Brand reputation
Promotions or discounts
Convenience/location
Personalized offerings
How often do you utilize health and wellness services?”
Multiple times a week
Once a week
A few times a month
Once a month
Less than once a month
Which payment methods do you prefer for health and wellness services?”
Credit/debit card
Cash
Mobile payment apps (e.g., Apple Pay, Google Wallet)
Health savings account (HSA)
Payment plans
How important are health-friendly labels (e.g., organic, non-GMO) when choosing health and wellness products or services?
Very important
Somewhat important
Neutral
Somewhat unimportant
Not important at all
Through which channels do you prefer to receive information about health and wellness services?(Check the top three)
Email
Social media
SMS/text messages
Phone calls
Mail
“What are the main barriers preventing you from utilizing health and wellness services more frequently? (Select all that apply)”
Cost
Lack of time
Limited availability
Unawareness of services
Skepticism about effectiveness
In a typical week, how often do you engage in physical activity or exercise? (Select one)
Every day – 7 days a week
Most days – 4–6 days a week
A few times a week – 2–3 days a week
About once a week – approximately 1 day a week
Rarely – less than once a week
Never – I do not exercise at all
Do you take supplements?
Yes
No
How much do you spend monthly on supplements?
$25- $50
$50- $100
$100-$200
Over $250
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