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Wellness Survey
Take This Short Quiz To Find Out What Your Body Is Trying To Tell You...
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Do you experience stomach discomfort during the day or the night?
Day time
Night time
Both
Neither
During an average day, how much water do you drink?
0 - 750ml (0-24 Ounces)
760ml - 1.4 litres (25-49 Ounces)
1.5 litres - 2.2 litres (50-74 Ounces)
2.3 litres - 2.75 litres (75-94 Ounces)
More than 2.75 litres (More than 95 Ounces)
Are you on any medications for digestive issues or function?
Yes
No
I haven't sought medical advice on this issue yet
Which of these best describes your experience?
(If you experience more than one, select the one you experience most often or affects you most severely)
Upset stomach or constipation
Intestinal bloating
Food intolerances
Reflux, heartburn or frequent indigestion
Unintentional weight changes
Sleep disturbance or constant fatigue
Auto-immune conditions (eg. arthritis, IBS, diabetes, etc.)
Other
Have you taken more than three rounds of antibiotics in your lifetime?
Yes
No
I don't know
How often do you have trouble falling alseep?
Never - I enjoy a good quality of sleep
Seldom - 1 to 2 times a month
Frequently - 3 to 4 times a week
Constantly - Nightly or most nights I have trouble falling asleep
Next
Click Here To Go To The Next Question...
Help me better understand your needs.
Tell me where you're at with your business goals...
Want to start my own business
Your New Answer Here
Moderately successful, looking for growth
Already successful, earning huge revenue
Wellness Survey
Take This Short Quiz To Find Out What Your Body Is Trying To Tell You...
Start Survey
Do you experience stomach discomfort during the day or the night?
Day time
Night time
Both
Neither
During an average day, how much water do you drink?
0 - 750ml (0-24 Ounces)
760ml - 1.4 litres (25-49 Ounces)
1.5 litres - 2.2 litres (50-74 Ounces)
2.3 litres - 2.75 litres (75-94 Ounces)
More than 2.75 litres (More than 95 Ounces)
Are you on any medications for digestive issues or function?
Yes
No
I haven't sought medical advice on this issue yet
Which of these best describes your experience?
(If you experience more than one, select the one you experience most often or affects you most severely)
Upset stomach or constipation
Intestinal bloating
Food intolerances
Reflux, heartburn or frequent indigestion
Unintentional weight changes
Sleep disturbance or constant fatigue
Auto-immune conditions (eg. arthritis, IBS, diabetes, etc.)
Other
Have you taken more than three rounds of antibiotics in your lifetime?
Yes
No
I don't know
How often do you have trouble falling alseep?
Never - I enjoy a good quality of sleep
Seldom - 1 to 2 times a month
Frequently - 3 to 4 times a week
Constantly - Nightly or most nights I have trouble falling asleep
Next
Click Here To Go To The Next Question...
Help me better understand your needs.
Tell me where you're at with your business goals...
Want to start my own business
Your New Answer Here
Moderately successful, looking for growth
Already successful, earning huge revenue
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