Education
Exponential Health Analysis Form
(mRNA Discovery Panel)
Retail Cost = $599
Discount Code = “unjected100”
1) Fill out the form
2) click “SUBMIT” button
3) then click “Buy Now” to proceed to payment
4) Enter discount code “unjected100” to drop price from $599 → $499
Please double check all information
Once you leave this page, you can’t go back.
FORM INSRUCTIONS
Before you begin, please take a moment to review how to correctly fill out the form below. This will help ensure that your health analysis is as accurate as possible.
Fill Out For Yourself Only
You must complete this form for yourself only. The only exception is for minor children. For children under 18, a parent or legal guardian must fill out the form on their behalf.
Answer All Questions
Answers all questions honestly and to the best of your knowledge.
Submitting Your Picture
For accurate analysis, it’s essential to submit a clear photo following these guidelines:
- Make sure your head and shoulders are fully visible.
- Face the camera with one or both palms visible, ensuring that they are open and facing forward.
- Use a solid-colored background to avoid distractions
START HERE
BEFORE PROCEEDING
Double-check all form details above → then hit “Submit” on form → then click “Buy Now” below to proceed to payment
Once you leave this page, you can’t go back.