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 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.

Personal Information

Full name

Date of Birth

Email address

Telephone number

Address

Height (cm)

Weight (kg)

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 DisclaimerYes

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 as honestly as possible to ensure that our team of experts can review this form and provide some feedback to assist you in the best way possible.

Take the guesswork out of your medical, training and lifestyle goals by filling in the questionnaire. The best thing about this is that you will receive a FREE 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 020 7486 0273.

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