We believe every interaction with our patients is an opportunity to improve their health!

Symptoms Questionnaire

To find out what test is best for your goals, complete the symptom questionnaire below

The information provided will be private and confidential. It will not be shared with anyone unless requested by you. Please answer the below as honestly as possible by checking the boxes that relate to your experiences or symptoms. A private phone consultation is available at no charge to discuss the below if required.

GC Biosciences have specifically formulated a short but effective questionnaire to determine the best testing methods to fit your symptoms and goals. Please complete the form with as much information and honesty as possible to ensure that our team of experts provide concise feedback to assist you in the best way possible when they review this form.

Take the guesswork out of your medical, training and lifestyle goals by filling in the questionnaire. The best part is that you get to receive a complimentary review from our team of health consultants, scientists, and nutritionists.

If at any point you want more information, or have a question about your application, please do not hesitate to contact us on:

+ 0203 951 0212

Personal Information

Full name

Email address

Telephone number

General Symptoms

Frequent rashes, dermatitis, hives or other skin conditionSickness more than twice a yearFrequent headachesRecurring running nose

Digestive Symptoms

Occasional, unexplained bloatingFeeling of inflammation following certain foodsDaily bloating or stomach crampsDaily diarrhoeaDaily constipation

Fatigue and Tiredness

Feeling tired during the dayTrouble sleepingDifficulty waking in the morning

Female-Specific Symptoms

Diagnosed PCOSMenopausal or post-menopausalIrregular menstrual cycle

Male-Specific Symptoms

Low libidoDifficulty achieving or maintaining an erectionAnabolic steroid use

Lifestyle

Suspected or diagnosed vitamin/mineral deficiencyMultiple vitamin/mineral supplementationTravel to locations with unsafe tap water

Do you consider yourself to be healthy?
YesNo

Do you consider yourself to be health conscious?
YesNo

Tell us a little about your health goal or challenge

Would you like to receive exclusive offers and information by email? We will never sell, share or spam your email address.
Yes

Please confirm that you have read and understood the GC Biosciences Disclaimer Yes