Nootropic Stack Recommendations
Please complete the following form to the best of your ability, the more accurate and descriptive you are - the better suited your recommendations will be.
After completion, we will analyse the information and revert back with a formulated stack based on the information provided.
Email address *
Are you a new or existing customer? * *
What do you do for a living? * *
Your answer
Have you used nootropic before? If so, what did and did not work for you? *
Your answer
What do you currently struggle with? (Select multiple) * *
What are you looking to achieve? * *
Your answer
Natural or Synthetic Products *
Powders or Capsules *
One a scale of 1-10 how advanced do you want the product recommendations to be? * *
Beginner Products
Advanced Products
What is your budget? *
Full Name *
Your answer
Email *
Your answer
Never submit passwords through Google Forms.
This form was created inside of Prime Health Holdings. Report Abuse - Terms of Service