How important is improving your energy, recovery, and overall health?*
Do you struggle with memory, focus, or concentration?*
Do you experience increased body fat, especially around the midsection?*
Do you struggle with poor sleep quality or frequent waking during the night?*
Do you experience brain fog, sluggishness, or lack of motivation?*
Have you noticed decreased muscle mass, slower recovery, or loss of strength?*
Do you experience chronic fatigue, low stamina, or frequent “energy crashes”?*
Do you feel like you recover slower than normal from workouts, injuries, or illness?*
Have you experienced slower healing from surgeries, infections, or general illness?*
Do you experience prolonged soreness or inflammation after exercise?*
Do you suffer from chronic inflammation, autoimmune issues, or allergies?*
Do you get sick often or feel like your immune system is weaker than it used to be?*
Are you regularly exposed to environmental toxins (alcohol, smoking, workplace chemicals)?*
Do you have a history of liver concerns (fatty liver, hepatitis, detox issues)?*
Do you drink alcohol regularly or have a history of alcohol use disorder?*
Longevity & Aging Concerns
Do you want support with healthy aging, cellular repair, and long-term wellness?*
Do you have skin concerns such as dull complexion, hyperpigmentation, or premature aging?*
Are you concerned about aging-related decline, longevity, or performance?*
Are you currently taking any prescription medications, supplements, or GLP-1s?*
Do you have any major medical conditions (cancer, autoimmune disease, cardiovascular disease)?*
Do you have a history of neurodegenerative conditions (e.g., Alzheimer’s, Parkinson’s)? *
Have you been diagnosed with metabolic issues (pre-diabetes, insulin resistance, obesity)?*
Do you currently have untreated sleep apnea or uncontrolled diabetes?*
Are you currently pregnant, breastfeeding, or undergoing chemotherapy?*
PARQ (Physical Activity Readiness Questionnaire)
Have you been hospitalized in the last 12 months?*
Are you currently suffering from a medical condition, illness, or injury?*
Has your doctor ever said that you have a heart condition and that you should only perform physical activity recommend by a doctor?*
Do you feel pain in your chest when you perform physical activity?*
In the past month, have you had chest pain when you are not performing physical activity?*
Do you lose balance because of dizziness or do you ever lose consciousness?*
Do you have a bone or joint problem that could be made worst by a change in your physical activity?*
Is your doctor currently prescribing any medication for your blood pressure or for a heart condition?*
Do you know of any other reason why you should not engage in physical activity?*
If you answered yes to one or more of the above PARQ (Physical Activity Readiness Questionnaire) questions, consult your medical doctor or physician before engaging in physical activity. After medical evaluation, seek advice from your physician on what type of activity is suitable for your current condition. Attach below a medical doctor or physician's note authorizing physical activity.
What is your current salary range?*
Does your occupation require extended periods of sitting?*
Does your occupation cause you anxiety (mental stress)?*
Are you experiencing any flu or flu-like symptoms?*
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