PeptideEats Score™ Questionnaire

Section 1 — Who you are

Full name Email address (report delivered here) Goal weight (if different) City / State How did you hear about PeptideEats?

Section 2 — Your health goals

Check everything that applies.

Lose weight / reduce body fat Lose belly fat specifically Build lean muscle Tone without bulking Maintain current weight More energy throughout the day Stop crashing after meals Perform better at the gym Faster workout recovery Improve endurance or stamina Reduce joint or tendon pain Improve gut health / stop bloating Strengthen immune system Heal from an injury faster Manage blood sugar / diabetes Better mental focus and clarity Reduce anxiety or stress Improve mood and motivation Better quality sleep Reduce brain fog Improve skin Strengthen hair Look younger and feel vibrant Slow down aging #1 goal above all others

Section 3 — Your symptoms (0–5)

0 = Never, 5 = Every day.

Fatigue / low energy despite sleeping Mid‑afternoon energy crash Feeling hungry 1–2 hrs after eating Belly fat that's been hard to shift Weight seems to increase easily Bloating after meals Gas, cramping, or irregular bowels Acid reflux or heartburn Food sensitivities / reactions Poor digestion / feel heavy after eating

Section 4 — Current diet (0–7 times/week)

Salmon or fatty fish Chicken or turkey Red meat Eggs Greek yogurt or cottage cheese Beans / lentils / chickpeas Tofu / tempeh / edamame Protein shakes or powder Bone broth or soups Fermented foods Garlic or ginger Turmeric Leafy greens Broccoli or cauliflower Bell peppers Mushrooms Sweet potato / squash Asparagus / artichokes Berries Citrus fruits Avocado Dark chocolate Oats or oatmeal Quinoa Brown or wild rice Whole grain bread/pasta Chia or flax Nuts Fast food meals Ultra‑processed snacks Sugary drinks White bread/rice/pasta Alcohol (drinks/week) Fried foods Sugary desserts

Section 5 — Eating habits

Meals per day Breakfast within 2 hours? Eat after 8 PM regularly? Time between last meal and bedtime Water per day Meal prep at home? Diet quality right now Biggest challenge

Section 6 — Lifestyle

Activity level Exercise type Sleep hours Sleep quality Stress level Smoker / tobacco use

Section 7 — Supplements & medications

Supplements used Currently on GLP‑1 medication? Diagnosed medical conditions Pregnant or breastfeeding? Prescription medications affecting diet?

Section 8 — Food allergies

Food allergies Dietary preferences