Welcome to badAss Transformations

Let's Get to Know You

Before we dive in, I need a little more information about you and your health goals. This helps me personalize your experience and make sure we're a great fit.

Important Disclaimer — Please Read Before Continuing

Annie is not a medical doctor, licensed physician, nurse practitioner, or any other licensed healthcare provider. The information, guidance, and coaching provided through badAss Transformations is based on Annie's personal research, self-education, and lived experience with peptide protocols. Nothing shared through this program constitutes medical advice, diagnosis, or treatment. Peptide use involves real risks and is not appropriate for everyone. You are solely responsible for any decisions you make regarding your health, including whether to use peptides, how to source them, and how to administer them. Always consult a qualified, licensed healthcare provider before beginning any new health protocol, supplement, or peptide regimen. By completing this intake form and engaging with badAss Transformations coaching services, you acknowledge and agree that: (1) Annie is not a medical professional and her guidance does not replace medical advice; (2) you assume full personal responsibility for your health decisions and any outcomes that result; (3) you release Annie and badAss Transformations from any and all liability, claims, damages, or causes of action arising from your use of or reliance on any information, coaching, or recommendations provided; (4) individual outcomes will vary; (5) you are participating voluntarily and of your own free will.

Your Intake Form

All information is kept strictly confidential and used only to personalize your coaching experience.

About You

Full Name *

Email Address *

Phone Number

Age Range *

Gender *

Primary Goal *

Peptides & Medications

Peptide Knowledge & Experience Level *

Please select the option that best describes where you are in your peptide journey.

Completely NewI have never used peptides and have little to no prior knowledge of them.

Early AwarenessI have heard about peptides and am curious, but have not yet begun any research.

Self-EducatedI have done a meaningful amount of independent research and have a foundational understanding of peptide protocols.

Some Hands-On ExperienceI have used one or two peptides previously and am familiar with basic administration and sourcing.

Actively ExperiencedI am currently using or have recently completed a peptide protocol and have a solid working knowledge of dosing, cycling, and sourcing.

Currently Using Peptides? *

Currently on Antibiotics? *

Known Health Conditions

Other Medications or Supplements

Exercise Habits

How often do you exercise? *

What type of exercise?

Diet & Daily Habits

How would you describe your diet? *

How many meals do you eat per day?

Daily water intake *

Soda or sugary drinks? *

Nighttime snacking? *

Sleep quality *

Current stress level *

Your Goals & Anything Else

Describe your goals and what you're hoping to achieve *

Anything else I should know about your lifestyle?

How did you hear about Annie?

I have read, understood, and agree to the disclaimer and liability waiver above. I understand that Annie is not a medical doctor and that I am solely responsible for my own health decisions.