Customization Form

Ready to become your most empowered self? Good. This form will help us create your optimum custom blend.

Simply complete this short form (3-5 minutes max) to help us custom blend the most effective MIND•BODY•ENERGY•SEX & SLEEP formulas in the world.

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Where Are You Purchasing From...
What Kinds Of Products Are You Interested In Using/Trying or Have Purchased?Pick as many as you like to help you with your...
Do you suffer from:
Exercise type?Choose any that apply
Greatest issues:
Greatest health desires / goals?
Do you eat...
Do you drink coffee, tea or energy drinks?
How many cups/bottles per day?
Are you sensitive to stimulants?
Do you use prescription drugs?
Do you use Marijuana?
Do you use Kratom?
OTC drugs? (aspirin, antihistamines, etc.)
Are you taking anti-depressants / SSRI's?
Are you taking an MAO inhibitor?
Are you taking...
Are you taking any supplements or herbs?
Taste sensitivity?

Please adjust each aspect of your Nootropic Blend to get the perfect mix and elements - Not too much or too little - Just right

When you order, you can make significant changes to your mix. Go Wild! (within the context of your own physiological performance needs and limits)

And... you're done! Simply click the submit button and select your Custom Blended Nootropics. Please let us know how we did on the FEEDBACK FORM.

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