Order Your GI-MAP™ Test Kit | GI MAP Test Canada

Personal Information

Basic details so we can get in touch and prepare your kit.

First Name *

Last Name *

Email Address *

Phone Number *

Preferred Contact Method *

Date of Birth *

Biological Sex *

Gender Identity

Country *

Province / State *

City *

Lifestyle & Diet

These factors directly affect gut health and help us interpret your results.

How would you describe your current diet? *

Describe your typical daily dietA rough idea of what you eat on a normal day

Daily water intake

Caffeine consumption

Alcohol consumption

Tobacco / Cannabis use

Exercise frequency

Average sleep per night

How would you rate your current stress level? *

1Very low

3Moderate

5Very high

Have you done any previous gut or functional testing?e.g. previous GI-MAP™, stool culture, SIBO breath test, food sensitivity test

Test Selection & Final Details

Almost done — choose your package and let us know anything else.

Which test package interests you? *

GI-MAP™ Standard$769.99

GI-MAP™ + Zonulin Most Popular$869.99

H. Pylori Profile$299.99

Not sure yet — help me chooseFree consult

Are you currently working with a healthcare practitioner?

What are you hoping to learn or achieve from this test? *

Anything else you'd like us to know?

How did you hear about us?

I understand this form is for a health intake assessment and does not constitute a medical diagnosis. I consent to having my information reviewed by a Functional Diagnostic Nutrition Practitioner for the purpose of GI-MAP™ test recommendations and protocol guidance. *

I have read and agree to the Privacy Policy and Terms of Service. *

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Health Intake & Test Application

Personal Information

Medical History

Digestive Health & Symptoms

Lifestyle & Diet

Test Selection & Final Details