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Your health check:)

Dear Sir or Madam, please take a few minutes of your time to complete the following questionnaire.

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Your health check:)
1

First and Last Name

2

How does your health feel overall from 1-10?

Use digits only
3

How many Liters of Water do you drink daily?

Select one or more answers
4

How often do you workout in a week?

Select one or more answers
5

Do you consume caffeine to boost your energy?

Select one or more answers
6

Do you suffer from headaches or migraines?

Select one or more answers
7

Do you have trouble concentrating?

Select one or more answers
8

Do you suffer from joint pain or muscle tension?

Select one or more answers
9

Do you struggle with skin impurities?

Select one or more answers
10

Do you struggle with hair loss?

Select one or more answers
11

Do you struggle with your scalp (dandruff, itchy, etc)

Select one or more answers
12

Do you suffer from colon or digestive issues?

Select one or more answers
13

Do you feel tired or exhausted often?

Select one or more answers
14

Do you take any supplements for a vitamin deficiency?

Select one or more answers
15

How often would you say you get sick in a year?

Select one or more answers
16

Do you have any intolerances for allergies? If yes, which ones?

If not just answer with no:)
17

How would you rate your nutrition/diet?

Select one or more answers
18

How happy are you right now with your body/weight?

19

What is your health/well-being worth to you per month?

Select one or more answers
20

Under what WhatsApp number can I contact you after this questionnaire to talk about products that can help you feel your best?

Use digits only