1. Are You Male or Female?
This is important so we can personalise the assessment to your unique needs
2. Do you have any of the following digestive issues more than once a week?
Select all that that apply to your unique circumstances:
3. How long have you had these symptoms for?
Please select one of the options
4. Do you have trouble losing weight?
5. Have you taken a course of antibiotics in the last 5 years
6. Do you have a diagnosis with any of the following autoimmune, thyroid or nervous system diseases?
7. Do you regularly consume the following gut nourishing foods and nutrients?
8. How do you rate your energy levels on a daily basis?
9. Do you crave sugary foods
10. Do you have skin issues such as eczema, rosacea, rashes, acne or a flakey scalp?
11. Do you have mystery symptoms which have no apparent cause?
12. Do you frequently feel under the weather or have general malaise, brain fog and fatigue?
13. Do you have a white coating on your tongue?
14. Please rate your stress levels.
15. Do you get sick often?
E.g. Colds, The Flu, Tonsillitis, Sinusitis, Glandular Fever, Gastro etc
16. Do you suffer from diagnosed Irritable Bowel Syndrome (IBS), Inflammatory Bowel Disorder (IBD) or Ulcerative Colitis?
17. Have you ever struggled with fungal issues such as candida, yeast, tinea or ringworm?
18. Do you have food sensitivities or allergies?
For example, Gluten, Lactose, Sugar, Nuts, Legumes, FODMAPS, eggs, shellfish etc.
19. What is your age?
19a. IF the age bracket is 18-35:, Have you been diagnosed or do you have any of the following?
20. Do you have your menstrual cycle?
21. Do you have or have you been diagnosed with any of the following?
22. Have you ever taken any form of birth control?
23. Do you suffer from any of the following symptoms?
24. Have you ever taken any of the following?
25. Do you have or have you been diagnosed with any of the following?
26. Do you consume any of these foods?
27. Do you drink tap, or bottled water?
28. How much water do you drink per day on average?
29. Do you use any of the following?
30. Rate your cravings for sugar out of 10:
31. Do you feel lethargic after eating a carbohydrate heavy meal?
32. Do you think you have or have you been medically diagnosed with any of the following:
33. How many times a week do you eat meat?
34. How many times per week do you eat packaged food?
35. Do you consume any of the following:
35. Do you ever feel like your thoughts are racing?
36. Do you ever have trouble focusing on the task at hand?
37. Have you been diagnosed, or suspect you are suffering from a mental illness such as Anxiety or Depression?
38. Do you sometimes feel like you’re going to snap at any given moment during the day?
39. How would you rate your current sleep out of 10? (10 = brilliant)
40. How many hours of undisturbed sleep are you getting per night?
41. Are you able to sleep all the way through the night without interruptions?
41a. If No, What makes you wake up during the night?
42. Do you currently take any sleep medications?
For example, Valium, Diazepam, Lyrica or Ambien
43. Do you take any natural solutions for sleep?
For example, natural supplements, essentials or teas
44. How would you describe your quality of sleep?
45. On a scale from 1 to 10, how refreshed do you wake up in the morning?
10 = brilliant
46. Are you a Shift Worker?
What's your first name and best email address?
So we can send your score and personalised recommendations.
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A Complete Hormonal Rebalance is Recommended
, Your score indicates that you need to start at step #1 of the Gut & Hormone Happiness Protocol: Detoxification
Gut and Digestive Repair is Recommended
, Your score indicates that you need to start at step #2 of the Gut & Hormone Happiness Protocol: Repair
A Complete Hormonal Rebalance is Recommended
, Your score indicates that you need to start at step #3 of the Gut & Hormone Happiness Protocol: Hormone Synergy
Here is the breakdown of your score based on the pillars of gut, digestive and microbiome health.
Your score indicates that an accumulation of stress, diet and lifestyle factors may have triggered an overload of toxins, digestive sludge, bad bacteria, candida or potentially parasites in the gut. Signs and symptoms include:
X Bloating, gas, “heaviness” and and fluid retention
X Difficulties losing weight or getting stuck in a weight loss stall or plateau
X A sluggish digestive system
X Cravings for fatty foods, carbs or sugars
X A toxic food build-up, plaque and metabolic waste
X Rising levels of insidious chronic inflammation
's Urgent Recommendations For The Fastest Results
Here is the breakdown of your score based on the pillars of gut, digestive and microbiome health.
Your score indicates that an accumulation of stress, diet and lifestyle factors may have damaged your gut lining and triggered a bacterial imbalance in your gut microbiome. This can sometimes manifest as the following signs and symptoms:
X Digestive disturbances such as acid reflux, gas, food intolerance and bloating
X Trouble absorbing all the nutrients from your food resulting in nutrient deficiencies, tiredness and hair shedding
X Low energy, brain-fog, fatigue, a lack of mental clarity or an underlying feeling something just isn’t right
X Elevated levels of chronic inflammation due to toxins leaking into the bloodstream your damaged gut wall
X Problems losing weight or getting stuck in a weight loss stall or plateau
's Urgent Recommendations For The Fastest Results
Here is the breakdown of your score based on the pillars of gut, digestive and microbiome health.
Hormone imbalances can come in many different forms. And it looks different from woman to woman. Whilst there are a few different hormones that create imbalances, the single biggest “domino” hormone is Estrogen. Estrogen is crucial for day-to-day functioning. Without it, you end up with vaginal changes that lead to painful urination, hot flashes, moodiness, irregular periods and brain fog.
X Irritability, anxiety, mood swings or a gut feeling something just isn’t right with your body
X Hormonal weight gain (particularly around the tummy, hips, midsection and thighs), fluid retention, puffiness or “feeling heavy”
X Loss of libido or disinterest in intimacy
X Hot flashes, painful urination, irregular periods, vaginal bleeding or abnormal menstruation
X Gas, acid reflux or other digestive imbalances
X Low energy, brain fog or other mental health problems
