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Bio Assessmet

Welcome to Supreme Wellbeing's Bio Balance Assessment This quick quiz helps you understand what your body needs most right now. Answer intuitively and let your body guide the process. Do you know your Blood type?

First name*

Last name*

Email*

Phone

How do you usually feel throughout the day?*

Tired but wired, anxious, overstimulated

Heavy, sluggish, foggy

Up and down—energy crashes or spikes

Emotionally sensitive, easily drained

Mostly okay but something still feels “off

Which best describes your digestion?*

Sensitive, bloating, irregular

Slow digestion, constipation, heaviness

Sugar cravings or blood sugar swings

Tight or knotted feeling in the gut

Generally fine, occasional discomfort

Your sleep is best described as?*

Hard to fall asleep or stay asleep

Sleep a lot but still feel tired

Wake up around 2–4am

Light sleeper, easily disturbed

Sleep is okay but not deeply restorative

What do you crave most?*

Caffeine or stimulation

Heavy or comfort foods

Sugar or carbs

Salt or chocolate

Nothing specific

Lately, you’ve felt more:*

Anxious or on edge

Unmotivated or low

Irritable or frustrated

Neutral but disconnected

Are you on any medications? If so, list them below. *

Do you have any allergies?*

Have you ever tried herbal treatment? *

signing this In-Take Form, I acknowledge that I have both read and understood the terms. Disclaimer: For any serious medical issues contact your physician immediately *

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FDA Disclaimer:

All information is for educational purposes only and has not been evaluated by the FDA.

This information is not intended to diagnose, treat, cure, or prevent any disease.

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