First Name
Last Name
Email
*
What is your age range?
30-39
40-49
50-59
60-69
What best describes your current role?
Executive / C-Suite
Entrepreneur
Senior Leadership
Professional / Specialist
Other
How would you describe the demands of your career/lifestyle?
Moderate
Challenging
High
Very high
Constant, high-stress, no margin
How would you describe the demands of your career/lifestyle? (copy)
Moderate
Challenging
High
Very high
Constant, high-stress, no margin
What are your primary goals at the moment? Tick all that apply
Lose fat
Build muscle
Increase energy
Improve sleep
Hormone optimization
How many days per month do you travel for work?
0-4 days
5-10 days
11-15 days
16+ days
How consistent is your sleep schedule?
Highly inconsistent
Inconsistent
Somewhat consistent
Very consistent
How would you rate your current stress level?
Extremely high
High
Manageable
Noticeable
How would you rate your current stress level? (copy)
No structured routine
Very inconsistent / minimal
Mixed but inconsistent
Cardio-based routine
Weight training 3–5 days/week
When you train, how intense is the session?
Mostly going through the motions
Light
Moderate
High-intensity / to failure
Do your workouts feel productive or frustrating lately?
Frustrating / declining
Inconsistent results
Decent
Very productive
Do your workouts feel productive or frustrating lately? (copy)
Frustrating / declining
Inconsistent results
Decent
Very productive
How many meals per week come from restaurants, hotels, or airports?
0-3
4-7
8-12
13+
How would you describe your protein intake?
High and consistent
Moderate
Low
Very low
What best describes your morning routine?
High-protein meal
No food until later
Coffee only
Coffee + carbs
Energy drink + something quick
How often do you experience cravings (sugar, carbs, late-night eating)?
Rarely
Occasionally
Frequently
Almost daily
Where do you store the majority of your fat?
Mostly above the navel (upper abdomen)
Mostly below the navel (lower abdomen)
Evenly distributed
Not sure
How would you describe your muscle mass over the last 1–3 years?
Increasing
About the same
Slight decline
Noticeable decline
Do you experience water retention or puffiness?
No
Occasionally
Frequently
Almost daily
How would you rate your libido?
Strong
Moderate
Low
Very low
How motivated and driven do you feel in the morning?
High
Reasonable
Inconsistent
Low
How quickly do you recover from workouts?
Very quickly
Normal
Slow
Very slow
When traveling, how predictable are your meals?
Very predictable
Somewhat predictable
Unpredictable
Completely unpredictable
Do time zones disrupt your energy or sleep?
No
Slightly
Often
Significantly
How often do you rely on hotel gyms?
Rarely
Occasionally
Often
Almost always
How old does your body feel compared to your actual age?
Younger
About the same
Slightly older
Much older
How old does your physical performance feel (strength, stamina, recovery)?
Much younger
Slightly younger
Same
Older
Significantly older
What have you tried in the past 12–24 months?
Diets
Intermittent fasting
Weight training
Personal training
Hormone therapy
Peptides
Supplements
“Trying harder”
None of the above
What best describes your past results?
Great results
Decent results
Option 3
Short-lived results
Minimal results
No results
What has been your biggest obstacle historically?
Time
Consistency
Travel
Stress
Lack of clarity
Hormones
Motivation
Not sure
Why do you want to optimize your hormones, energy, performance, and body - and why now?
What becomes possible in your life, career, and relationships if you fix this once and for all?
What is the cost of staying exactly where you are for the next 12 months?
What is your commitment level to solving this?
100% — I’m ready
75% — I’m serious
50% — Thinking about it
25% — Curious
Would you like us to prepare a personalized biological interpretation call based on your Scorecard?
Yes
Yes
Yes