How often do you feel fatigued or low on energy?
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Rarely
Occasionally
Frequently
Almost all the time
How would you describe your mood lately?
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Positive and stable
Slightly irritable or low
Often down or anxious
Consistently negative or depressed
Has your sex drive (libido) changed recently?
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No change, it’s the same as always
Slightly lower than usual
Noticeably lower than before
Almost non-existent
How is your physical performance during exercise or daily activities?
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No issues, still strong and energetic
Slightly less strength or stamina
Clearly less strength and endurance
Major difficulties in physical tasks
Have you noticed any changes in your muscle mass or body composition?
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No changes, still muscular or lean
Slight loss of muscle or slight weight gain
Noticeable loss of muscle or fat gain
Significant muscle loss or weight gain
In the last 90 days, how much have you spent on your health?
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$0 to $500
$500 to $2000
$2000 to $5000
Over $5000
This will include gym membership, nutrition, coaching, supplements, Health Care etc.
How would you describe your mental focus and clarity?
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Sharp and focused as usual
Sometimes a bit foggy or distracted
Often unfocused or forgetful
Struggling with concentration daily
How often do you feel irritable, anxious, or easily frustrated?
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Rarely or never
Occasionally, but manageable
Frequently, and it affects my life
Almost constantly
Have you experienced changes in your sleep quality or patterns?
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No, I sleep well
Slight disturbances occasionally
Often wake up tired or struggle to sleep
Constant sleep issues or insomnia
Lets get your results.
First Name
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Last Name
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Phone
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Email
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