Healthy Living Quiz!

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Hi love! Here's a few questions that help us determine your wellness needs! Please provide me the following information!

What is your first and last name?

What is your instagram and/or facebook?

What is your age range?

18-24

25-34

35-44

45-54

55-64

65-74

75+

Clear selection

What are you looking to improve? Please check all that apply.

Energy Levels

Gut health

Adding more fruits and veggies into diet

Strengthen hair, skin, and nails

Mood and Stress Response

Sleeping issues

Overall immune support

Other:

In a few sentences explain what you are struggling with when it comes to your Health & Wellness.

Do you have a specific budget? If so, please specify... this helps me recommend the right product system while staying in your budget!

Please provide your phone number and/or email address.

Submit

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