Complete This Questionnaire To Maximize The Results And Help Make The Next Version Even Better!

Please take a moment to answer the questions about you below. With this information I will help each of you figure out what is the most efficient and effective way to achieve life long thriving health with the lowest risk possible for diseases such as cancer, autoimmune, metabolic syndrome, etc. 

Question Title

* 1. Put your name here

Question Title

* 2. Put your email address here

Question Title

* 3. If you have any current medical conditions, please describe them in details here. For each, please tell me what you believe was the cause of it.

Question Title

* 4. What are your health goals in the next 1,5,20 years?

Question Title

* 5. Here, tell me about 1-3 habits you currently have that serves and nurtures your health goals (for each tell me how long they have been in place).

Question Title

* 6. Here, tell me what are 1-3 habits that DO NOT serve or nurture your health goals.

Question Title

* 7. Rank the items below from most to least important.

Question Title

* 8. What supplements do you currently take?

Question Title

* 9. How confident do you feel about being in control of your health and wellness to thrive in life with abundant energy and low risk of disease?

Not Confident Extremely Confident
Clear
i We adjusted the number you entered based on the slider’s scale.

Question Title

* 10. What is your current body weight in pounds?

T