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DNA Double Helix

Peptide Questionnaire

Please fill out Trifecta Healing Center's Peptide Questionnaire in order to determine which peptides are a best fit for your personalized peptide therapy.  

Have you noticed slower recovery from workouts or injuries?
Everytime
Sometimes
Never
Do you feel like your sleep is less restorative than it used to be?
Most nights I don't sleep well
Not really, I sleep good
Have you experienced increased body fat despite no major lifestyle changes?
Yes
No
Has your muscle tone or strength declined over time?
Yes, a lot
Slightly
No not at all
Do you struggle with stubborn fat that doesn’t respond to diet/exercise?
Yes
No
Do you experience frequent cravings or difficulty controlling appetite?
Yes
No
Has your waist circumference increased even without weight gain?
Yes
No
Do you feel fatigued after eating or have blood sugar crashes?
Yes
No
Have you been diagnosed with insulin resistance or prediabetes?
Yes
No
I don't know
Do you experience brain fog or difficulty concentrating?
Often
Once in awhile
Never
Have you noticed memory decline or slower thinking?
Often
Once in awhile
Never
Do you feel mentally fatigued even without physical exertion?
Yes
No
Do you experience anxiety or difficulty regulating stress?
Often
Once in awhile
Never
Do you have trouble staying focused on tasks?
Often
Once in awhile
Never
Do you have lingering injuries that haven’t fully healed?
Yes
No
Have you had tendon, ligament, or joint pain lasting more than 3 months?
Yes
No
Do small injuries seem to take longer to recover from?
Yes
No
Do you experience chronic inflammation or pain in specific areas?
Yes
No
Have you noticed a decrease in libido?
Significantly
Slightly
No, not really
Do you have difficulty with sexual performance or arousal?
Significantly
Slightly
Not really
Have your hormones been tested recently?
Yes recently
Yes but awhile ago
No never
Do you feel a disconnect between desire and physical response?
Yes
No
Have stress or mood changes affected your sex drive?
Yes significantly
Slightly
No
Have you noticed thinning hair or slower hair growth?
Yes significantly
Slightly
No
Has your skin lost elasticity or developed more wrinkles recently?
Yes significantly
Slightly
No
Do you have slow wound healing or poor skin recovery?
Yes healing takes awhile
Somewhat slow but not bad
No I heal well
Are you concerned about visible aging signs?
Yes
No
Do you want to improve skin quality or thickness?
Yes
No
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