Find your ideal peptide stack in under 2 minutes!

1. What is your primary wellness goal right now?

Lose fat and boost metabolism

Improve sleep and recovery

Increase energy and mental clarity

Build muscle and enhance performance

Improve skin or support anti-aging

Boost libido or sexual wellness

2. How are your energy levels?

Low — I feel sluggish or tired most days

Up and down — I crash by mid-afternoon

Great — I don’t struggle with energy

3. Are you currently doing hormone replacement therapy?

Yes

No, but I’m curious

No, and I’m not interested

4. How often do you work out?

Rarely

1–2 times per week

3–5 times per week

I train consistently and push hard

5. How would you rate your sleep?

Poor — I wake up often or can’t fall asleep

Fair — I sleep, but don’t feel rested

Great — I sleep well and feel recovered

6. Would you prefer an injection, capsule, or nasal spray?

I’m fine with injections

Capsules or sprays preferred

Doesn’t matter — I just want results

Full Name

Date of birth

Phone *

Email *

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Based on your answers, you're a great candidate for a customized peptide plan. Would you like to schedule a free consult to review your results?

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