GlucoReset
Health Assessment
Help us understand your current health so we can create a personalized plan for you.
Contact Information
Email Address
We'll send your results here
Current Health Status
Current A1C Level
Your most recent A1C test result (e.g., 7.5)
Target A1C Goal
(optional)
Where you want to be (normal is under 5.7)
Current Medications
Include dosage and frequency. Write "None" if not taking any.
Diet & Lifestyle
Current Diet Approach
Select one...
Standard American Diet
Low Carb
Ketogenic
Mediterranean
Plant-Based/Vegan
Other
Describe Your Typical Daily Meals
This helps us understand your current eating patterns
Food Allergies or Restrictions
(optional)
Physical Activity Level
Select one...
Sedentary (little to no exercise)
Light (exercise 1-2 days/week)
Moderate (exercise 3-5 days/week)
Active (exercise 6-7 days/week)
Body Metrics
Current Weight (lbs)
(optional)
Height (inches)
(optional)
5'8" = 68 inches
Your Goals
What's Your Primary Goal?
Be specific about what success looks like for you
Get My Personalized Plan