Health & Goals Intake

A short, structured intake so we have the full picture before researching your question — instead of discovering important context five messages in. Answer only what applies; most sections are skippable.

What's going on?

Tell us in your own words — what you want help researching, what you're experiencing, whatever feels relevant. There's no wrong way to answer this.

New medication, hormone therapy, weight loss, a diagnosis, a major life event — anything, even if it doesn't seem related.

1. Basics

2. Current Therapies

Include medications, supplements, hormone therapy, and any GLP-1s / peptides / compounds — with dose and duration where you know it. Add as many rows as you need.

3. Symptoms

Rate severity 1 (not a problem) – 10 (severe). Leave anything blank that doesn't apply.

4. Lifestyle

5. Medical Context

6. Labs

No need to type results by hand — if you have a PDF or portal export, bring it to your research session and we'll identify what's present or missing. Just note the basics here.

Thyroid panel
CBC
Ferritin / iron
B12 / folate
Vitamin D
CMP
Glucose / A1c
Hormone panel
Lipid panel
Not sure

Review & Submit

Here's a summary of what you entered. Submit it and we'll store it securely and prepare your research brief.

This questionnaire is for research and educational purposes only. It does not diagnose, treat, or replace a licensed healthcare provider, and nothing here is a recommendation to start, stop, or change any medication, supplement, or dose.

How this is used. When you submit, your answers are stored securely so we have your background on file, and used to prepare a research brief ahead of your session — you won't need to re-explain your context from scratch. You can also copy or download a plain-text copy for yourself.