6 min · Anonymous · 18 Questions
Your body has been
sending signals for years.
17 honest questions about how you truly feel — across gut, sleep, stress, hormones, pain, immunity, and mind. Your answers shape a solution built around your specific biology.
Question 01 / 18 Required
Basic Details
A little about you — helps us build for the right people.
20 seconds. Essential for accurate research segmentation.
First Name or Nickname (helps us avoid duplicate responses)
🔒 Used only to identify unique respondents — never shared or used for marketing.
Age Range
Under 25
25 – 34
35 – 44
45 – 54
55 – 64
65 or above
Household Income (optional)
Under $40K
$40K – $75K
$75K – $120K
$120K – $200K
$200K+
Prefer not to say
Gender (optional)
Female
Male
Non-binary
Prefer not to say
Country / Region
USA — East Coast
USA — West Coast
USA — Midwest / South
Canada / UK / Australia
India
Other
Question 02 / 18 Required
Health Challenges — Full Scan
Which health challenges are you currently experiencing?
Select everything that applies. The more honest you are, the more accurately we can map your needs.
Gut & Digestion
Bloating after meals
Irregular digestion / IBS
Acid reflux / heartburn
Food sensitivities
Sleep
Wake between 2–4am
Unrefreshing sleep
Racing mind at bedtime
Stress, Anxiety & Mind
Chronic anxiety
Stress living in the body
Brain fog / poor focus
Low mood / depression
ADHD-like focus issues
Energy, Weight & Metabolism
Afternoon energy crash
Weight that won't move
Blood sugar instability
Chronic fatigue
Hormones & Reproductive Health
PCOS / hormonal imbalance
Perimenopause / menopause
Thyroid issues
Fertility challenges
PMS / painful periods
Chronic Pain, Inflammation & Immunity
Chronic joint or muscle pain
Autoimmune condition
Skin — eczema / psoriasis / acne
Frequent illness / low immunity
Migraines / chronic headaches
Other Common Concerns
Hair loss or thinning
High blood pressure / cholesterol
Post-COVID fatigue / brain fog
Dependency on medication I want to reduce
Premature aging / low cellular energy
Question 03 / 18 Required
Priority Ranking — Product Roadmap
Now prioritize — which are your TOP 3 most pressing health concerns?
Click in order of priority. First click = most important. This single ranking directly determines what we build first.
—
Gut health — digestion, bloating, microbiome—
Sleep — falling asleep, staying asleep, restoration—
Stress & anxiety — nervous system, cortisol, calm—
Energy & metabolism — fatigue, weight, blood sugar—
Hormonal balance — PCOS, thyroid, perimenopause—
Chronic pain & inflammation — joints, autoimmune, migraines—
Mental clarity — brain fog, focus, memory, mood—
Fertility & reproductive health—
Skin — eczema, acne, psoriasis, hair loss—
Longevity & healthy aging—
Reducing dependency on prescription medicationQuestion 04 / 18
Solutions Already Tried
What have you already tried for these health challenges?
Select everything — this tells us what hasn't worked and why, which shapes our core value proposition.
Generic supplements / vitamins
Prescription medication
Antidepressants or anti-anxiety meds
Sleeping pills or sedatives
Ozempic / GLP-1 / weight medication
Hormonal birth control or HRT
Steroids or immunosuppressants
Functional medicine / naturopath
Elimination diet (keto, FODMAP)
Therapy / counselling
Meditation / mindfulness app
Sleep or health tracker
Gut or hormone testing
Nothing significant yet
Question 05 / 18 Required
Urgency Trigger — Campaign Intelligence
What is making you look for a new health solution RIGHT NOW?
Something brought you here today. This is the most important timing question — be honest.
My symptoms are getting significantly worse
Something has shifted recently — I can't ignore it anymore
Side effects from medication I'm currently on
What I was given is creating new problems
I want to reduce or come off prescription medication
Looking for a natural alternative or exit strategy
A doctor failed me again — same advice, no results
The conventional system has given up on my case
Life event — pregnancy planning, new diagnosis, major stress
Something changed in my life that made this urgent
Proactive — I want to optimise before problems worsen
Prevention and longevity focused
I discovered ancient or botanical wellness and want to explore
Curiosity and education driven
Question 06 / 18
Duration — Urgency Calibration
How long have these health challenges been affecting you — without a satisfying solution?
Less than 6 months
Recently noticed, starting to explore
6 months – 1 year
Growing frustrated, trying things
1 – 3 years
Tried several things, still searching
3 – 5 years
Seriously exhausted by the search
Over 5 years
I've normalised dysfunction that shouldn't be normal
Question 07 / 18 Required
Core Unsolved Problem — Value Proposition
Despite everything you've tried, what is still the core unsolved problem?
The most important research question. Your honest answer becomes our core value proposition.
Nobody has identified the root cause — just symptoms treated
I've been managed, not healed
Everything is generic — nothing personalised to my biology
One-size-fits-all doesn't fit me
Solutions work short-term but don't hold
I improve temporarily then regress
Conditions treated separately — nobody sees the whole system
Gut, sleep, stress, hormones — all connected but treated in isolation
Side effects or dependency created by the solution
The treatment created new problems
Too expensive or unsustainable to maintain long-term
Question 08 / 18 Required
Personalisation Gap — Core USP Validation
Are your current health solutions personalised to your specific body type, biology, and conditions?
This single answer validates our primary differentiator.
Yes — completely personalised to me
My protocol is built around my specific biology
Somewhat — partially personalised but mostly generic
Some customisation but still quite broad
No — completely one-size-fits-all
Same supplements, same advice everyone gets
I haven't found any solution that works at all
Personalised or not — nothing has made a real difference
Question 09 / 18 Required
Medication Status — Pharma Displacement Intelligence
Are you currently on prescription medication for any of these health conditions?
Completely confidential. This helps us understand your relationship with pharmaceutical solutions.
Yes — and I'm actively looking to reduce or replace it
I want a natural alternative that actually works
Yes — and I'm open to complementary natural approaches
I'd like to use both together
Yes — and I'm satisfied with my medication
But I'm curious about natural options for other conditions
No — I tried medication and stopped due to side effects
Looking for something without the downsides
No — I've never used prescription medication for these
Prefer natural approaches from the start
Question 10 / 18 Required
Concept Test — The 4-Pillar System
How interested would you be in this?
A personalised, data-driven, plan-based wellness protocol — built on the ancient Science of Life's 5,000 years of botanical intelligence — that identifies your unique constitutional type, maps your current imbalances across all health systems, and delivers a structured 90-day healing plan tailored to your specific conditions. Confirmed by Nobel Prize-winning bioscience. Guided by certified ancient wellness practitioners.
1Not at all
2Slightly
3Moderately
4Very much
5Absolutely
Not interestedThis is exactly what I need
Question 11 / 18 Required
Premium Offer Validation — The Complete Experience
Would you want this specific programme?
A complete ancient wellness transformation experience that combines:
🌿 Ancient Science & Secrets — 5,000-year botanical intelligence, constitutional protocols, and the ancient healing wisdom that modern bioscience keeps rediscovering
⚡ Quantum Bio-Optimisation — data-driven personalisation using your wearable data, biomarkers, and circadian biology to fine-tune your protocol in real time
👤 1:1 Expert Coaching — Twice a Week — live sessions with a certified ancient wellness practitioner who knows your case, tracks your progress, and adjusts your protocol every session
🌿 Ancient Science & Secrets — 5,000-year botanical intelligence, constitutional protocols, and the ancient healing wisdom that modern bioscience keeps rediscovering
⚡ Quantum Bio-Optimisation — data-driven personalisation using your wearable data, biomarkers, and circadian biology to fine-tune your protocol in real time
👤 1:1 Expert Coaching — Twice a Week — live sessions with a certified ancient wellness practitioner who knows your case, tracks your progress, and adjusts your protocol every session
1Not at all
2Slightly
3Moderately
4Very much
5Absolutely yes
Not interestedThis is exactly what I want
If yes — what would you invest monthly for this complete programme?
Under $150 / month
Entry-level access
$150 – $299 / month
Serious investment in my health
$300 – $499 / month
Premium — if results are real
$500+ / month
This is my health priority — worth it
Not willing to pay for 1:1 coaching
Prefer a self-guided protocol
Question 12 / 18 Required
Feature Resonance — What You Actually Want
Which features would you want in your ideal health protocol?
Select everything that appeals. Your selections directly determine what we build first.
Constitutional type assessment (who you are biologically)
Personalised 90-day structured plan
Ancient botanical / herb-based compounds
Data-driven — wearable & biomarker integration
Daily rhythm & circadian habit guidance
1:1 certified ancient wellness coach
Community of people on same journey
At-home test kits (gut, hormones, cortisol)
AI-powered protocol adjustments
Progress tracking dashboard
Monthly supplement delivery
Physician-reviewed protocols
Medication tapering support protocol
Longevity & biological age reversal
Autoimmune & chronic pain protocol
Question 13 / 18
Investment Readiness
What would you invest monthly in a complete personalised ancient wellness system?
Includes: constitutional assessment, 90-day botanical protocol, coaching access, daily plan, and progress tracking.
Under $50 / month
$50 – $99 / month
$100 – $149 / month
$150 – $199 / month
$200+ / month — if it genuinely works
Question 14 / 18 Required
Enrolment Intent
If this launched today — free 5-minute assessment, 30-day money-back guarantee — would you enrol?
The assessment maps your constitutional type and builds your 90-day protocol. No payment to see your results.
Yes — sign me up right now
I've been looking for something like this
Very likely — I'd take the free assessment immediately
Low risk, high interest
Possibly — I'd want to see more evidence first
Show me the science and real results
Unlikely — not the right fit right now
Not interested in botanical approaches
Question 15 / 18
Brand Language
Which phrase makes you most want to explore this further?
"Ancient Botanical Intelligence — Nature's Original Operating Code"
"Quantum Bio-Restoration — 5,000-Year Science, Nobel Prize Confirmed"
"The Secret Health Science Western Medicine Never Taught You"
"Personalised Ancient Precision Medicine — Built for Your Biology"
"Botanical Biohacking — Nature's Pharmacy for Total Wellbeing"
"Ancient Science of Life — Finally Personalised for You"
Question 16 / 18
Discovery Channels — Launch Budget
Where do you typically discover new health and wellness solutions?
YouTube
Instagram / Reels
TikTok
Podcasts
Reddit
Google search
Friend or family
Doctor or practitioner
Facebook groups
Email newsletters
LinkedIn
Health influencer / Substack
Question 17 / 18
Dream Outcome — Your Transformation Vision
In 90 days on this protocol — what would your ideal outcome look like?
Select everything that resonates. Your words here become our most powerful copy.
I wake up genuinely rested
My gut stops running my day
Anxiety finally goes quiet
Real all-day energy — no crash
Sharp, clear brain again
Hormones feel balanced
I finally feel like myself again
I understand WHY my body was struggling
I reduce or eliminate my prescription medication
Chronic pain or inflammation reduces significantly
My autoimmune symptoms are under control
I reverse my biological age
Hair health improves
Fertility / reproductive health improves
Question 18 / 18
Your Voice — Verbatim Copy Gold
Anything else about your health journey you'd like to share?
Optional but invaluable. What frustrates you most? What do you wish existed? Write freely — your exact words shape everything we build.
Optional — tap Continue to see your results.
✓ Your response has been recorded — thank you for helping us build this.
Your Wellness Profile