What is your sex?

Male

Female

Prefer not to say

What is your age?

0 - 18 yrs

19 - 25 yrs

26 - 30 yrs

31 - 35 yrs

36 - 40 yrs

41 - 45 yrs

46 - 50 yrs

51 - 55 yrs

56 - 60 yrs

61 - 65 yrs

66 - 70 yrs

71 - 75 yrs

76 - 80 yrs

81 - 85 yrs

86 - 90 yrs

91 - 95 yrs

96 - 100 yrs

How often do you make changes to your lifestyle and diet?

Every few weeks

Every few months

Rarely Ever

Do you feel lethargic throughout the day?

Yes

No

Do you live an active lifestyle?

Mostly Sedentary

I'm fairly active

I am very active

How often do you exercise?

<1 time per week

1-3 times per week

3-5 times per week

5+ times per week

How often would you be willing to take an at home urine test that takes 2 minutes?

Have you ever taken a urine test for the following:

Pregnancy Test

Fertility Test

Drug Test

For a Lab Test prescribed by doctor

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Do you smoke, vape, or use any other nicotine products?

Yes

No

Do you take performance-enhancing drugs?

Yes

No

Do you experience low libido?

Yes

No

Are you concerned with reproduction and fertility?

Yes

No

How often do you get your blood tested?

Monthly

Every three months

Every 6 months

Only when requested by doctor

Do you use any of the following wearable devices?

A Continuous Glucose Monitor (CGM) is a simple device used for Glucose Optimization. Many people use a CGM to track their glucose responses to food, exercise, and stress. It helps optimize diet

How much do you spend on your health and wellness every month?

Most people have monthly health and wellness expenses that average between $300 and $600, including costs like gym memberships, training, supplements, specialized foods, life coaching, therapy

Which areas of your health are you looking to better understand and improve upon through biomarker testing?

You are all Set!