Vitality Medicine Optin

1
Which of these best describes your current situation?
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I'm experiencing specific health issues that are affecting my daily performance (energy, focus, sleep, recovery)
I'm noticing warning signs and want to understand what's happening before it gets worse
I'm concerned about preventing future health problems based on my family history or lifestyle
I'm a high-performer who wants to optimize my health and longevity
I'm just curious and browsing for general health information
2
Which of these best describes your current situation?* This field is required.
I'm experiencing specific health issues that are affecting my daily performance (energy, focus, sleep, recovery)
I'm noticing warning signs and want to understand what's happening before it gets worse
I'm concerned about preventing future health problems based on my family history or lifestyle
I'm a high-performer who wants to optimize my health and longevity
I'm just curious and browsing for general health information
3
How soon are you looking to take action on your health?* This field is required.
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Please Select
As soon as possible - I'm ready to start immediately
Within the next 7 days
Within the next 2-4 weeks
Within the next 1-2 months
Just exploring options for now, no specific timeline
4
How soon are you looking to take action on your health?
As soon as possible - I'm ready to start immediately
Within the next 7 days
Within the next 2-4 weeks
Within the next 1-2 months
Just exploring options for now, no specific timeline
5
Understanding your health requires comprehensive testing. To provide accurate recommendations, Dr. Gopal needs to see your blood work and biomarkers. This testing typically costs several hundred dollars. Are you prepared to invest in proper testing to get real answers?* This field is required.
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Yes, I understand testing is necessary and I'm prepared to invest in it
I'd like to learn more about what's involved before deciding
No, I'm only looking for free general advice right now
6
The initial consultation with Dr. Gopal costs $199. This consultation is often covered by health insurance. If your insurance covers it, you pay nothing out-of-pocket. If your insurance doesn't cover it, you'll need to pay the $199 consultation fee. Which option applies to you?* This field is required.
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Please Select
I have health insurance and would like you to verify if my consultation is covered
I don't have insurance, but I'm willing to pay the $199 consultation fee out-of-pocket
I'm not able to pay $199 out-of-pocket and don't have insurance coverage
7
Enter Your Contact Information* This field is required.
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