✨ START YOUR PERSONALIZED PEPTIDE STRATEGY SESSION

✨ START YOUR PERSONALIZED PEPTIDE STRATEGY SESSION

Let's get strategic! This quick intake helps me understand your specific goals (whether it’s boosting vitality, optimizing weight loss, or focusing on anti-aging) so I can connect you with the peptide or wellness options that may best support your unique body.Rest assured, your responses are confidential and I review every single one personally. Remember, the information I share is educational and is never a substitute for consulting with your own licensed healthcare provider.

Name*

First NameLast Name
Email*
example@example.com
Mobile Number
Please enter a valid phone number. By submitting you agree to receive text messages from me.
How soon do you want support?*

ASAPThis monthIn 1-2 monthsJust browsing

Primary Goals*

Optimize metabolism and manage appetite/cravingsImprove energy and reduce fatigueSharpen focus or reduce brain fogEnhance recovery and reduce sorenessEnhance skin texture, elasticity, and anti-aging supportImprove sleep qualitySupport hormone balance, mood, and libido

How would you describe your energy through the day?*

Low and inconsistentAverage, but I rely on caffeineFairly steadyExcellent most days
How often do you experience brain fog or lack of focus?*

FrequentlyOccasionallyRarelyNever

Which statement fits best?*

I struggle with cravings or portion controlI'm stuck at a plateau despite consistent effortMy appetite feels balanced
How important is prescription weight management to you?*

Extremely importantWilling to exploreNot interested
Have you ever used or been prescribed GLP-1 based medications?*

YesNoNot sure

How well does your body recover after activity or long days?*

Sore for daysSome muscle fatigueRecovery is decentI rarely feel sore
Do you experience joint discomfort or stiffness?*

Yes, regularlyOccasionallyRarelyNot at all

How restful is your sleep?*

Poor - hard to fall or stay asleepAverage - I sleep but don't feel refreshedGood - mostly consistentExcellent
Stess levels in the past month*

HighModerateLowMinimal

Which describes your current skin goals?*

Improve texture and elasticityAddress dark spots, overall birghtness, or healthy skin tonePrevent early signs of agingMaintain current results

Are you interested in options that may support hormone balance or libido?*

Yes - I'd like to learn morePossibly - depends on approachNot right now

Which product formats sound bst for your routine?*

InjectionsNasal spraysTopical creamsCapsule, sublingual, or oral supplementsOpen to whatever works best
How do you prefer to start?*

Gentle and gradual introductionStandard recommended startI've used similar peptides before and tolerate wellMicrodose if available

What's your activity level?*

Mostly SedentaryLightly activeRegular exercise routineAthlete or heavy training
How would you describe your nutrition approach?*

Balanced and mindfulInconsistentFocused on protein and whole foodsI'd like guidance