Personalised assessment

Start your consultation

Peptides are not one-size-fits-all. Before we suggest anything, we want a clear picture of your health, your history and any medications you are already taking — because those are exactly the details that determine whether a compound is appropriate for you. Fill in the intake below — when you submit, your completed PDF goes straight to our team on WhatsApp, and a copy is saved to your device.

Kept private

Your answers are stored securely and only seen by our review team.

History first

Conditions, medications and allergies are screened for interactions.

No pressure

An assessment is not a purchase. If nothing suits you, we say so.

1. About you

Full name *Date of birth *Sex assigned at birthEmail *Phone / WhatsApp *Province / territory *CityHeightWeightActivity level

2. Your goals

What are you hoping to achieve? *Recovery from an injury, fat loss, muscle gain, sleep, energy, joint pain, focus — be as specific as you like.Have you used peptides before?Which ones, at what dose, and how did you respond?

3. Health history

Please be complete and honest here. Some compounds are not suitable alongside certain conditions or prescriptions, and this section is how we catch that.

Diagnosed medical conditionsFor example diabetes, thyroid disease, high blood pressure, heart conditions, kidney or liver disease, cancer history, autoimmune conditions, mental health conditions. Write None if none.Current medications & supplements *Include prescriptions, over-the-counter medicine, hormones, insulin, GLP-1 medications and supplements, with doses if you know them. Write None if none.Allergies & sensitivitiesMedications, latex, preservatives, anything injectable. Write None if none.Surgeries or injuriesRecent or significant, with approximate dates.Pregnancy or breastfeedingAnything else we should know?

4. Consent

I confirm the information I have provided is accurate and complete to the best of my knowledge, and I consent to Peptides Superstore reviewing it in order to assess suitable options for me.I consent to my personal and health information being stored securely and used only for this assessment and follow-up. I understand I can ask for my information to be deleted at any time.I understand that Peptides Superstore is not a medical clinic, that this is not a diagnosis, prescription or medical advice, that all products are supplied for research use only, and that I should consult a licensed physician before starting anything.

Fields marked * are required. Nothing is shared with third parties.

Research use only. Peptides Superstore does not provide medical care, diagnosis or prescriptions, and this intake does not create a patient relationship. Always speak with a licensed Canadian healthcare practitioner about your health, medications and any compound you are considering.