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Everee Lab Gut Health Study (Baseline)

Your baseline captures how your gut, digestion, energy and mood were functioning before you started Everee. All weekly improvements will be compared back to this starting point; even small changes matter.

The more detail you share here, the easier it will be to notice meaningful improvements later.

This will take around 5–7 minutes to complete

Participant Details

Full name

*

Email

*

Have you taken collagen in the past 3 months?

*

A

No

B

Yes

Which brand/dose?

Medical & Lifestyle Snapshot

Gut-related diagnoses

*

A

None

B

IBS

C

IBD

D

Reflux/GERD

E

Coeliac

F

Other

Intolerances/sensitivities

*

A

None

B

Lactose

C

Gluten

D

FODMAPs

E

Other

Current medications and supplements

*

Average sleep (hours per night)

*

Stress rate 1 (low) to 10 (high)

*

1

2

3

4

5

6

7

8

9

10

Typical bowel movement frequency

*

A

0–2 per week

B

3–6 per week

C

1–2 per day

D

More than 2 per day

Your Starting Point (Past 4 Weeks)

Please answer the following based on the past 4 weeks.

Overall Gut Health (0 = worst, 10 = best)

*

0

1

2

3

4

5

6

7

8

9

10

Abdominal Pain or Discomfort Frequency

*

A

None

B

1–2 days per week

C

3–4 days per week

D

Most days

E

Daily

Abdominal Pain or Discomfort Severity

*

A

0

B

1

C

2

D

3

Your Notes (the more detail, the better)

Bloating Frequency

*

A

None

B

1–2 days per week

C

3–4 days per week

D

Most days

E

Daily

Bloating Severity

*

A

0

B

1

C

2

D

3

Your Notes (the more detail, the better)

Abdominal Distension Frequency

*

A

None

B

1–2 days per week

C

3–4 days per week

D

Most days

E

Daily

Abdominal Distension Severity

*

A

0

B

1

C

2

D

3

Your Notes (the more detail, the better)

Flatulence Frequency

*

A

None

B

1–2 days per week

C

3–4 days per week

D

Most days

E

Daily

Flatulence Severity

*

A

0

B

1

C

2

D

3

Your Notes (the more detail, the better)

Constipation Frequency

*

A

None

B

1–2 days per week

C

3–4 days per week

D

Most days

E

Daily

Constipation Severity

*

A

0

B

1

C

2

D

3

Your Notes (the more detail, the better)

Diarrhoea Frequency

*

A

None

B

1–2 days per week

C

3–4 days per week

D

Most days

E

Daily

Diarrhoea Severity

*

A

0

B

1

C

2

D

3

Your Notes (the more detail, the better)

*

Stool Form (Typical)

*

A

1 Hard or lumpy

B

2 Formed

C

3 Soft or formed

D

4 Loose or watery

Your Notes (the more detail, the better)

*

Your Goals for Improved Gut Health

*

Thank you for taking the time to share this. Every response helps us better understand and support women’s health.