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What is your first name?

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Did you know...

How old are you?

How often do you eat fruits and vegetables?

How often do you drink alcohol?

How would you describe your diet?

How many hours do you sleep each night?

Do you smoke?

How much time do you spend in front of the screen?

How often do you exercise?

What is your biological sex?

Are you pregnant or currently breastfeeding?

What would you like to improve?

What would you like to improve?

What is your main focus?

What is your main focus?

What factors usually influence your stress level?

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How would you describe your general mood on most days?

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Do you have problems related to sleep, appetite or energy levels?

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Do you often have mood swings throughout the day?

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What difficulties do you have in maintaining a healthy weight?

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Have you noticed a slowing down of your metabolism over time?

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Have you noticed negative changes in your figure despite dieting and exercising?

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Which of the following statements applies to you?

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How would you describe the quality of your sleep?

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What keeps you awake at night or contributes to restless sleep?

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How would you rate the overall function of your immune system?

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Which of the following factors can you identify with?

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What are your main concerns regarding your skin?

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Do you suffer from dry and sensitive skin due to atopic dermatitis or rosacea?

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What are the main problems regarding your hair?

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Are your nails brittle?

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Do you have difficulties with energy levels and concentration in everyday life?

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Do you often feel tired, even after a night of adequate sleep?

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Are you concerned about your cardiovascular health, such as...

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What factors have prevented you from achieving optimal heart health?

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Do you find it challenging to maintain a healthy lifestyle for optimal heart health?

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How do you usually feel after meals?

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Evaluate your bowel movement regularity

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Are you often exposed to factors that could affect your digestion, such as...

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What digestive problems do you often experience?

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How often do you eat high-fiber foods such as whole grains, legumes, fruits, vegetables or nuts?

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Do you experience mood swings or emotional changes before or during your period?

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Are you taking hormonal contraceptives?

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Do you have irregular menstrual cycles or disturbances in your menstrual flow?

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Have you noticed a decrease in your sexual desire or interest recently?

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How often do you feel limited in your sex life due to stress or exhaustion?

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