Mid Template ( Name )
2. Dealing with vitamins & supplements
7. Health Concern
8. Health Goals
9. Sick or have colds
10. Word with large crowd
11. Stress level
12. Skin rate
13. Hair and nail rate
14. Computer Screen
15. Eyes Discomfort
Mid Template (after 35)
What's your first name?
So we can get to know you better.
Hi! Nice to meet you
Don't worry, this won't take long
When dealing with vitamins and supplements, you are?
What is your age?
What is your gender?
Which area of the country do you live?
What is your email?
Don't worry all information is confidential.
What are your main health Concerns?
What are your top priority health goals?
You can select up to 3 goals
Do you often get sick or have colds?
Do you use public transportation or work with larger crowds?
How are your stress levels?
When talking about skin, how would you rate yours?
When talking about hair, how would you rate yours?
Let's talk Eyes.
Do you often stare at a computer screen?
Are your eyes strained causing discomfort?
Any family history heart conditions?
Do you have any heart concerns?
Are there bone health conditions in your family?
How often do you do exercise?
When you exercise what is your focus?
Do you often feel an afternoon slump and looking for a natural boost?
Do you suffer from arthritis, joint pain or discomfort?
Do you experience any trouble sleeping?
Do you sometimes have trouble with short term memory?
Let's talk digestion.
How often are your bowel movements?
Do you regularly experience any of the following?
Let's focus on your diet.
In an average week, how often do you eat meat?
In an average week, how often do you eat fish or seafood?
In an average week, how often do you eat vegetables?
In an average week, how often do you eat fruits?
Do your drink alcohol 3 or more times in an average week?
Do you have any fish or shellfish allergies?
Do you have any Soy allergies?
Are you vegetarian or vegan?
Do you have any of these other allergies?
Do you have any diet restrictions?
Your Health Assessment is complete!
Your nutrients, personalized for you. Our recommendation is based off your answers and our clinical research database. Add to your pack or learn more!