Prime leverage method — readiness assessment

Let's find out what's actually going on.

Thirteen questions, about five minutes. No generic advice on the other end — just a clear picture of where you are, so when we talk, we talk about you.

~5 min to complete 13 questions Private — reviewed only by our team

01 / Position + agenda

About you

The basics, so we know who we're talking to.

Full name *

Age *

Email *

Phone

02 / Fact

Where you are now

Just the facts — no judgment, just a baseline.

1. Current weight, and how much you'd like to lose or gain (if applicable) Only answer if body composition is part of what you're working on.

Not applicable to my goals

2. How would you rate your day-to-day energy right now? 1 = constantly drained, 10 = firing on all cylinders

DrainedPeak energy

3. Have you had bloodwork, nutrition testing, or a body composition scan done in the last 12 months?

03 / Feel

How it's affecting you

Tell us in your own words — this is the part that matters most.

4. What's the single biggest challenge you're facing with your weight, energy, or vitality right now?

5. How is this showing up in your work, relationships, or day-to-day life?

04 / Find

What you've tried

This helps us skip what hasn't worked and go straight to what will.

6. How long has this been going on?

7. What have you already tried to fix it?

8. Why is fixing this important to you right now — what changes if nothing changes?

05 / Options

What you're looking for

Pick the path that matters most right now.

9. Which outcome matters most to you right now?

ALose fat and transform my body composition BRestore energy, focus, and mental clarity CRegain strength, mobility, and confidence

10. Are you open to exploring peptide therapy as part of a personalized plan, if it's the right fit for you? Discussed one-on-one as part of your custom plan — never a one-size-fits-all approach.

Yes, I'd like to hear more I'm open to learning, but have questions Not something I want right now

06 / The open

Ready to start

Last few — this is where we get honest about readiness.

11. On a scale of 1–10, how ready are you to commit to a structured 90-day plan to fix this?

Just exploringReady now

12. Is there anything that would stop you from starting a program like this, if we find it's the right fit?

13. Best way and time to reach you

Submitting this doesn't commit you to anything. It just means our conversation starts from where you actually are, not from a generic script.

This assessment is for coaching intake purposes only and does not constitute medical advice. Peptide therapy and program eligibility are discussed individually and are subject to applicable US regulations.