START WITH YOUR GOALS — The NEXO Performance Assessment.

1
How well do you know peptides?* This field is required.
I’m completely new — heard about them but that’s about it
I know the basics — done some reading/research
I’m knowledgeable — researched specific peptides and understand the basics
I’m experienced — used peptides previously
I’m currently using peptides
2
What are you hoping to improve?* This field is required.
Lose body fat
Improve body composition
Build/preserve lean muscle
Increase strength/performance
Recover better from training
Support recovery from injury
Improve energy
Improve sleep
Improve focus
Healthy aging/longevity
Libido/sexual wellness
Overall vitality
I’m not sure yet
3
If peptides could support ONE area of your goals, what would matter most to you?* This field is required.
4
What are you currently using?* This field is required.
Peptides
GLP-1/weight-management medication
Testosterone/TRT
Other hormone therapy
ED medication
Prescription wellness treatment
Performance supplements
None
5
What would you like to change or improve?
6
What would you like help understanding?* This field is required.
Which types of peptide therapies are commonly discussed for my goals
Realistic expectations
How peptide programs fit alongside nutrition/training/recovery
Administration and general treatment experience
Duration/commitment
Monitoring and follow-up
Cost/program options
Safety and potential side effects
Whether I need a medical-provider evaluation
I’m not sure and want someone to explain the options
7
A few important things before we talk.
8
Which of the following apply to you?
I have a significant current medical condition
I have a history of cancer
I have a significant heart, cardiovascular condition
I have a kidney or liver condition
I have a significant endocrine or hormonal condition
I have a pancreatic condition/history of pancreatitis
I’ve previously had a serious reaction to a medication or peptide
I’m currently recovering from major surgery
I’m pregnant, breastfeeding or trying to conceive
I’m currently receiving peptide, hormone or weight-management treatment from another provider
None of these apply
I’d prefer to discuss something privately
9
Selecting something above doesn’t automatically determine eligibility. It simply helps us identify when a licensed provider should be involved in the conversation.
10
Why now?
11
I understand that this assessment is intended to identify my goals and provide educational guidance. It does not diagnose a condition, prescribe treatment, determine medical eligibility, or replace evaluation by a licensed healthcare provider.* This field is required.
I understand that this assessment is intended to identify my goals and provide educational guidance. It does not diagnose a condition, prescribe treatment, determine medical eligibility, or replace evaluation by a licensed healthcare provider.
12
Name* This field is required.
First Name
Last Name
13
Email* This field is required.
example@example.com
14
Phone* This field is required.
Please enter a valid phone number.
15
Preferred contact method* This field is required.
Text
Email
Phone
Should be Empty: