Clinical Wellness Profile

A structured intake. Six domains scored.

A short, evidence-informed intake that scores six core health domains and matches 4Life products to your inputs — with the reasoning behind each recommendation.

~5 minutes · 21 inputs · Anonymized
01 / 05

Demographics

Brief context that informs product matching and dosing guidance.

Used for general guidance only.

02 / 05

Lifestyle baseline

Sleep, hydration, activity, and exposure inputs that drive most subjective wellness markers.

03 / 05

Current state

Rate each item over the past 30 days. 0 = excellent / none, 3 = poor / frequent.

0 Steady
1 Mild dips
2 Noticeable crashes
3 Drained most days
0 None
1 One
2 Two
3 Three+
0 Comfortable
1 Occasional
2 Weekly
3 Daily
0 Low
1 Manageable
2 High
3 Overwhelmed
0 Restorative
1 Mostly OK
2 Restless
3 Poor
0 None
1 Mild
2 Moderate
3 Significant
0 Sharp
1 Occasional fog
2 Frequent fog
3 Persistent fog
0 Healthy
1 Mild concerns
2 Moderate
3 Significant
04 / 05

Goals (pick up to 3)

What are you most focused on improving in the next 90 days?

Immune support
Energy & vitality
Sleep & recovery
Stress resilience
Digestive health
Cognitive function
Cardiovascular health
Joint & mobility
Skin & beauty
Weight management
Hormonal balance
Healthy aging

0 / 3 selected

05 / 05

Disclosures & consent

A few yes/no inputs that affect what we can responsibly recommend.

Your Profile

Wellness profile complete

Based on 21 inputs across demographics, lifestyle, current state, and goals.

Domain scoring

Health domain breakdown

Lower bars = greater opportunity for support. Scoring combines current-state ratings with relevant lifestyle inputs.

Recommended support

4Life products matched to your profile

Each recommendation includes what it targets, the proposed mechanism, and the inputs from your profile that drove the match.

Lifestyle notes

Foundational guidance from your inputs

Notes based on what you shared

    Your guide

    your guide

    Independent 4Life Affiliate ·

    Email delivery

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    We’ll send you a clean copy of this profile (products, suggested cadence, where to find each item). Your guide will also be notified so they can follow up with anything you want to talk through.