Coaching Questionnaire

You just took the hardest step. Most men never do.

You're one step closer to finding out what's really going on inside your body and finally doing something about it.

Answer this short questionnaire so we can make the most of your call.

Full Name *

Phone *

Please confirm your mobile number [It's really important this is correct so that we can confirm your application + help you book your free strategy session]

Email *

So we can hook you up with some free resources after our strategy session.

Are you at least 25 years of age and a current U.S. resident? *

Yes, I am at least 25 years old and a current U.S. resident

No, I am under the age of 25 / not a U.S. resident

To confirm - you're filling this out because you're done pretending everything is fine, ready to find out what's actually going on inside your body, and finally willing to do something about it before it gets worse? *

Yes, I'm serious and ready to stop guessing and start fixing the problem.

No, I'm going to leave this page.

Which of the below best describes your goal? *

I've been carrying too much weight for too long and I know it's affecting my health, energy, and how I show up for my family.

I've been avoiding the doctor for years because I'm scared of what they'll find - but I know something is off and I'm ready to find out the truth.

I feel like I'm declining faster than I should be. Low energy, brain fog, weight I can't move. I'm tired of pretending it's just stress or age.

I don't have a specific goal. I just know I can't keep going the way I'm going and something needs to change before it gets worse.

What makes you interested in working with our team specifically? *

I've followed you for a while and seen what happens to guys who actually go through this. I'm ready to stop watching from the sidelines.

I'm tired of being told to eat less and move more. I want to know what's actually going on inside my body and fix the real problem.

I'm at a point where the fear of staying the same is worse than the fear of finding out the truth.

All of the above.

I don't know much about BioSignal Protocol yet but something told me to fill this out and I'm open to getting answers.

Are you currently using any of the following? (Select all that apply) *

Peptides (GH secretagogues, BPC-157, etc.)

GLP-1 medications (Semaglutide, Tirzepatide, Retatrutide, etc.)

TRT / HRT (Testosterone Replacement Therapy)

SARMs

Anabolic steroids

Over-the-counter supplements only

Nothing currently

Not sure what any of this is

How do you feel about using peptides and pharmaceutical-grade compounds to optimize your results? *

I'm already on them and want better guidance

I'm all in - whatever gets me the best results

Open to it but want to learn more first

I'm open to some but not all (e.g., no GLP-1s)

I'd prefer to optimize naturally without peptides

Not sure yet - I'd like to discuss it on our call

Have you had bloodwork done in the last 12 months? *

Yes, comprehensive panel

Yes, but just a basic panel from my doctor

No, it's been over a year

I've never had bloodwork done

What is your current occupation and how long have you been doing it? *

Do you have a significant other? If so, are they supportive of you investing in your health, performance, and optimization? *

Yes, I have a significant other and they are fully supportive.

Yes, I have a significant other but this is my decision to make.

Yes, I have a significant other but they may need to join the call so we can make a decision together.

No, I'm single and I make my own decisions.

Last question. If we could show you exactly what is going on inside your body, tell you the truth about where you are headed, and give you a real plan to stop the decline before it gets worse - would you be ready to act on it? *

Yes, I have the resources to invest in my long-term health and future.

Yes, I may need to get creative but I'm resourceful and committed to making it happen.

No, my finances are tight right now and I don't have the flexibility to invest.

We'll Review And Be In Touch For Next Steps.