The Powerhouse Assessment
Welcome, let's find your perfect peptide plan
your body is signaling — let's listen
This short assessment gathers a clear picture of your health goals and lifestyle so Dr. Aimee can guide your next step.
Takes less than 2 minutes · Dr. Aimee personally reviews every response
What is your full name?
What is your phone number?
What is your email address?
What type of peptides are you interested in?
🌿
Natural Peptides
Easy, do-it-yourself oral peptides from Dr. Aimee's curated MAKE Wellness store.
🩺
Doctor Preferred
Synthetic + natural pairing. Complete the assessment, then book directly with Dr. Aimee.
What are your top health goals?
Select all that apply
Weight Loss
Build & Preserve Muscle
Gain More Energy & Increase Hydration
Decrease Stress & Anxiety
Increase Focus & Attention
Improve Quality Sleep
Improve Hormone Balance
Increase Overall Wellness & Longevity
Anti-Aging
How often do you exercise weekly?
0
Never
1-2
1-2 days
3-4
3-4 days
5-7
5-7 days
On a scale of 1–10, what is your stress level?
MinimalExtreme
Do you suffer from any of the following?
Select all that apply
Stress
Anxiety
Depression
All of the above
None of the above
Do you have any specific aches and pains or injuries you are currently facing?
What medications, vitamins, supplements or injections are you currently taking?
Do you have trouble falling asleep?
Yes
No
Sometimes
Do you have trouble staying asleep?
Yes
No
Sometimes
Do you wake up feeling rested?
Yes
No
Sometimes
Do you typically have an afternoon energy crash?
Yes
No
Sometimes
Do you have trouble focusing on tasks and checking off your to-do lists?
Yes
No
Sometimes
✓
Thank you, friend.
your journey starts now
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