How often do you experience bloating after meals? ^*

Rarely or never

Sometimes, especially after heavy meals

Frequently, regardless of what I eat

Almost always, along with stomach pain

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How would you describe your stools most of the time? ^*

Soft and smooth, easy to pass

Sticky, bulky, and takes time to pass

Hard, dry, or pellet-like; difficult to pass

Alternates between diarrhea and constipation

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📌 Did you know?

Your gut microbiome is home to over 100 trillion bacteria—that’s more than the number of stars in the Milky Way!

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Do you feel completely relieved after a bowel movement? ^*

Yes, almost always

No, I often feel like I haven't fully emptied

No, I have to strain, and sometimes it feels incomplete

No, I experience frequent urgency or loose stools

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How would you describe your energy levels throughout the day? ^*

Stable and consistent

I feel sluggish and slow-moving in the morning

My energy fluctuates a lot, and I often feel drained

I feel tired but wired, with occasional crashes

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📌 Fun Fact:

90% of the body's serotonin (the happiness hormone) is produced in the gut. No wonder gut health affects mood!

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How do you respond to stress? ^*

I stay mostly balanced, with minor stress effects

I internalize stress, and it affects my digestion

I feel anxious, restless, and struggle with digestion under stress

Stress worsens my gut issues significantly

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How would you describe your appetite? ^*

Strong, consistent, and regular

Moderate, with occasional cravings for heavy foods

Erratic; sometimes strong, sometimes absent

Unstable; I feel full quickly but get hungry again soon

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Which foods tend to upset your stomach? ^*

Very spicy or oily foods

Dairy, greasy, or heavy foods

Raw, cold, or dry foods

Sugar, alcohol, and processed foods

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Section 4: Skin & Hair Health

"The skin is a mirror of the gut." – Ancient Ayurvedic Wisdom

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Have you noticed any skin or hair concerns? ^*

Occasional breakouts or sensitivity

Oily skin, tendency for breakouts, or excessive hair fall

Dry skin, brittle hair, or dandruff

Skin rashes, irritation, or dullness

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📌 Fun Fact:

The gut-skin axis connects your gut health to your skin. Conditions like acne, eczema, and psoriasis often have gut-related triggers.

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How is your sleep quality? ^*

Generally good and uninterrupted

I sleep deeply but often feel groggy upon waking

I struggle to fall or stay asleep

My sleep is disturbed, and I wake up feeling tired

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Do you experience frequent mood swings or anxiety? ^*

Not really, my mood is stable

Sometimes, especially in the evening

Yes, I get overwhelmed easily and feel restless

Yes, I experience irritability, frustration, or nervousness

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First Name ^*

Email ^*

Phone Number ^*

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Section 4: Skin & Hair Health

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Section 4: Skin &amp; Hair Health

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Section 4: Skin & Hair Health