Alethios - For Wellness The Good Stuff™ Supplement Study Screening

Welcome to the For Wellness The Good Stuff™ Supplement Study Prescreener

Thank you for your interest in our study. The following questions will help us determine your eligibility to participate. Please answer all questions honestly and to the best of your knowledge.

What is your name?*

Please write your full legal name (first name and last name).

What is your email?*

Please enter your complete email address.

What is your age?*

What is your gender?*

Male

Female

Non-binary

Prefer not to say

Other

Do you consume coffee at least once a day with cream and/or sugar?*

Yes

No

In the past 90 days, have you experienced any of the following symptoms or conditions that lasted longer than 2 weeks?*

Please select all that apply.

Joint pain (e.g., fingers, wrists, elbows, shoulders, knees)

Morning joint stiffness

Joint swelling

Gastrointestinal issues (diarrhea, constipation, acid reflux)

Skin conditions (redness, irritation)

None of the above

In the past 3 months, have you used any supplements containing the following ingredients? (Select all that apply)*

Have you used The Good Stuff supplement before?*

Yes

No

Are you allergic to any of the following ingredients? (Select all that apply)*

Are you currently enrolled in any other supplement studies?*

Yes

No

In the past 30 days, have you used any of the following medications? (Please select all that apply)*

Over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen, naproxen, aspirin, diclofenac, or ketoprofen

Steroids (oral) or aminosalicylates

Antibiotics

None of the above

In the past 6 months, have you used any of the following medications or treatments? (Please select all that apply)*

Immunomodulators (e.g., methotrexate, azathioprine, cyclosporine, hydroxychloroquine, sulfasalazine)

Steroid injections

None of the above

Are you pregnant or currently breastfeeding/nursing?*

Yes

No

Are you willing to try The Good Stuff Performance supplement for this study?*

This is a 60 day study during which the supplement must be taken daily.

Yes

No

Have you been diagnosed with any of the following conditions by a healthcare professional?*

Select all that apply.

Please enter your mailing address on the next few screens.

You will be asked to provide each line of your mailing address in a separate question. This information is required to be sent your Study Kit.

Mailing Address Line 1*

E.g. "123 Main Street"

Mailing Address Line 2

E.g. "Apt 4A" If not applicable, leave blank.

Mailing Address: City Name*

e.g. "San Francisco"

Mailing Address: State*

Please enter initials. E.g. "CA" for California

Mailing Address: Zip Code*

E.g. "94109"

What is your phone number?*