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Novus Med Assessment

Find out what’s holding back your fat loss, energy, and performance.

This 2-minute assessment reviews your goals, symptoms, and lifestyle patterns to generate a personalized performance snapshot.

Name

*

Email

*

Phone

*

Age

*

Age

A

Under 30

B

30-39

C

40-49

D

50-59

E

60+

Sex

*

Sex

A

Male

B

Female

Current Primary Goal

*

Current Primary Goal

A

Lose fat

B

Increase energy

C

Improve strength/performance

D

Improve libido/drive

E

Improve overall health

F

All of the above

Current Weight

*

Goal Weight

*

How often do you exercise?

*

How often do you exercise?

A

0–1x/week

B

2–3x/week

C

4–5x/week

D

6+ times/week

Energy Level

*

Energy Level

1

2

3

4

5

6

7

8

9

10

Motivation/Drive

*

Motivation/Drive

1

2

3

4

5

6

7

8

9

10

Sleep Quality

*

Sleep Quality

1

2

3

4

5

6

7

8

9

10

Appetite/Cravings

*

Appetite/Cravings

A

Low

B

Moderate

C

High

D

Very high / hard to control

Biggest Frustration

*

Have you ever had labs checked for hormones/metabolic health?

*

Have you ever had labs checked for hormones/metabolic health?

A

Yes, recently

B

Yes, but not recently

C

No

D

Not sure

Are you currently using GLP-1, TRT, peptides, or hormone therapy?

*

Are you currently using GLP-1, TRT, peptides, or hormone therapy?

A

No

B

GLP-1

C

TRT

D

Both GLP-1 and TRT

E

Other

Are you interested in physician-guided options if appropriate?

*

Are you interested in physician-guided options if appropriate?

A

Yes

B

Maybe

C

No

Consent checkbox

*

Consent checkbox

I understand this assessment is educational only and does not provide medical advice, diagnosis, or prescriptions.