Feeling tired, stressed, or just want to feel healthier? Find out the optimal supplement to bring back that spring in your step! 1. Start 2. 2 3. 2 (Copy) 4. 2 (Copy) (Copy) 5. 2 (Copy) (Copy) (Copy) 6. 2 (Copy) (Copy) (Copy) (Copy) 7. 2 (Copy) (Copy) (Copy) (Copy) (Copy) Leave this field blank What is your gender? Male Female How old are you? 18 - 20 20 - 30 30 - 40 40 - 50 50 - 60 60 - 70 70 - 80 80 - 90 In general, how much stress do you have in life? 0 is No Stress, 100 is Very Stressed. 50 In general, how are your energy levels? 0 is No Energy, 100 is Very Energetic. 50 Do you regularly struggle to fall asleep? Yes No Do you regularly struggle to get up in the morning? Yes No Do you feel that your mental fitness is deteriorating? Yes No How many hours do you exercise a week? None 1 - 2 2 - 5 5 - 10 How often do you get colds? Never Sometimes Often Do you smoke cigarettes? Yes No Are you on any restrictive diets? No Vegetarian Vegan Pescetarian Paleo Gluten-Free Dairy-Free Other How many portions of fruit and veg do you eat per week? None 1 - 5 5 - 10 10 - 20 How many servings of eggs, nuts & seeds, and soy products do you eat per week? None 1 - 5 5 - 10 10 - 20 How many units of alcohol do you drink in an average week? 1 shot of spirit is 1 unit, a medium glass of wine or pint of beer is approximately 2 units. None 1 - 5 5 - 10 10 - 20 20 - 30 30 + How many caffeinated drinks do you consume each week? None 1 - 5 5 - 10 10 - 20 20 - 30 30 + In an average week, how many soft drinks, juices and sugary beverages do you consume? None 1 - 5 5 - 10 10 - 20 20 - 30 30 + Is there anything you're particularly concerned about or want to improve? Immune System, Weight Loss, Anti-ageing, Bone Health, Stress Relief, Hair or Skin or Nails, Low Energy, Depression and Anxiety Can we contact you about your answers? Do you want your results sent to you, and to stay updated with the latest supplement news? You can unsubscribe at any time. Yes, that's fine. No, thank you. Your Name (optional) Your Email Address (optional)
