3 Minute Qualification Quiz

Looking for a better way to manage your blood sugar needs.

I agree to terms & conditions provided by the company. By providing my phone number, I agree to receive text messages from the business. This quiz is intended for educational and informational purposes only. It is not a medical test, diagnosis, or treatment plan. The results should not be interpreted as medical advice. Always consult with a qualified healthcare professional before making any changes to your diet & lifestyle.

We are going to start with your Energy & Mood.

Do you often feel a sudden drop in energy a few hours after eating? *

Yes

Do you experience frequent mood swings or irritability throughout the day? *

Yes

Do you often crave sweets or refined carbs (bread, pasta, pastries)? *

Yes

Now we are going to ask about Lifestyle & Habits

How often do you skip meals or go long periods without eating? *

Yes

Do you exercise less than 3 times per week? *

Yes

Do you get fewer than 7 hours of sleep most nights? *

Yes

o you often feel unusually thirsty, even when you’ve been drinking fluids? *

Yes

Do you notice frequent urination during the day or night? *

Yes

Do you experience tingling or numbness in your hands or feet? *

Yes

Do cuts or bruises on your body seem to take longer than normal to heal? *

Yes

How long have these been a concern?

Less than 6 months

Under 1 year

Over 1 year

What is your motivation level?

I am not worried

I am not sure

I am ready to make changes

Knowing your age will help us identify the best protocol for you.

Date of birth

Do you eat a lot of processed foods and sugary drinks?

Yes

Are you willing to change your diet?

Yes

Nothing is fixed over-night. Most real solutions will take between 30-45 days before you see verifiable results.

Are you prepared to commit 45 days?

Yes

While we are processing your results, let us know where you would like them sent to?

First Name

Last Name

Email *

Phone

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