Your health,
understood completely.
This questionnaire forms the foundation of your Signa Peptide protocol. Every question matters — your answers determine which peptides are appropriate, which are contraindicated, and what your bloodwork needs to show before we begin.
€150 — one-time, covers this intake and your practitioner review
Ongoing protocol membership is separate and shown once your consultation has been reviewed. Nothing further is charged today beyond this consultation fee.
This is a coaching and education consultation, not a medical consultation. All protocols produced from this questionnaire should be reviewed with your physician before implementation.
The questionnaire takes approximately 10–12 minutes to complete. Answer honestly — particularly regarding medical history. Information that seems minor to you can be clinically significant for protocol design.
A comprehensive blood panel is required before your consultation can be reviewed — Signa Peptide cannot design, approve, or dispense a protocol without it. You can complete it before or after this questionnaire, in either order, but your protocol review will not begin until your results are received.
Section 6 gives you the exact panel to take to your GP, endocrinologist, or private lab — a separate list for men and women, since the hormone markers differ. If you don't yet have a test booked, you can still submit this questionnaire and arrange it straight after.
Once submitted, your questionnaire is reviewed by our practitioner team. You will receive your personalised consultation report within 5 working days of your completed blood panel being received. The report will contain your full protocol, phased timeline, dosing instructions, and monitoring schedule.
Personal
details
Basic information used to contextualise your results and protocol recommendations.
Your goals &
priorities
Select everything that applies. There are no wrong answers — this helps us understand what outcomes matter most to you.
Medical
history
This section determines which peptides are safe for your specific profile. Please answer honestly — some conditions are absolute contraindications for certain agents.
Medications &
supplements
Drug and supplement interactions must be assessed before any peptide protocol is designed. Include everything, including over-the-counter medications.
Lifestyle &
current health
Peptides amplify the response to training, nutrition, and recovery — they do not replace them. Understanding your current baseline helps us calibrate what is realistically achievable.
Your blood
test
A comprehensive blood panel is the foundation of a safe, effective peptide protocol. Below is the exact panel to take to your doctor or private lab — the Elite Optimisation Panel, split by sex since the hormone markers differ.
- Fast for 12 hours (water only)
- Attend the laboratory between 07:00–09:00
- Avoid resistance training and cardiovascular exercise for 24 hours beforehand
- Avoid alcohol for 48 hours beforehand
- Remain well hydrated
- Continue prescribed medications unless your healthcare professional advises otherwise
This panel assesses eligibility and safety before peptide therapy, identifies metabolic, endocrine and inflammatory barriers to performance, recovery and body composition, evaluates cardiovascular risk beyond a standard lipid profile, detects iron, vitamin and mineral deficiencies that may impair response to peptide therapy, and establishes a comprehensive baseline for monitoring treatment efficacy and long-term optimisation.
Recommended repeat testing: every 6 months, or every 3 months during active peptide protocols requiring closer monitoring.
PDF, JPG, or PNG — multiple files accepted
Review &
submit
Almost done. Add any final information, confirm your details, and submit.
Questionnaire received.
We'll be in touch.
Thank you for completing your Signa Peptide health screening. Your questionnaire has been submitted and is being reviewed by our team.
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Whether or not automatic saving worked above, you can also send your answers yourself right now — two steps:
Downloads a plain-text summary of every answer you gave, then opens an email to protocols@signapeptide.com — attach the downloaded file before sending.
If you have uploaded blood results: You will receive your consultation report within 5 working days.
If your blood test is pending: Submit your results to protocols@signapeptide.com and your protocol will be designed within 5 working days of receipt.
If you have any questions in the meantime, contact us directly at the same address.