Precision Gut Microbiome Analysis | Test Intro Form | Sarah Brandow

Before booking your Precision Microbiome Analysis, please complete this short application form.

I use this to understand your current health picture, what you are hoping to uncover, and how to best position the testing process so the results are as useful and actionable as possible. I also want to ensure that this test is the appropriate step for you based on your current health status and your goals.

First Name *

Last Name *

Date of birth *

Email *

Are you interested in gut microbiome testing only, or also 1:1 work?

City and Country (Please note this test can only be shipped to US, EU, UK, and Canada)

What made you interested in this test right now?

What are the main symptoms, issues, or frustrations you are currently dealing with? (If you are just looking to optimize, please share in the box below)

Top 3 Reasons for Booking (Optimization Goals, Fitness/Weight Management, Health Concerns)

All Reasons for Booking

Do you currently have any diagnosed gastrointestinal conditions, or strong suspicion of one? (Such as IBS, IBD, SIBO, Celiac disease, Chronic constipation, Chronic diarrhea)

Do you have any of the following symptoms?

Have you taken antibiotics, antifungals, proton pump inhibitors, or antimicrobial supplements in the last 3 months? If yes, list which ones, for how long, and when

Are you currently taking any medications or supplements that could affect your gut, hormones, inflammation, or digestion?

Are your symptoms fairly stable, or do they fluctuate a lot across the month? Any noticeable impacts from certain foods, travel, hydration levels?

If you menstruate, do your symptoms noticeably change across your cycle?

Are you mainly looking for:

Anything else you want to share?