7 Question Interests Survey for KeepLifeUp.com

Question Title

* 1. Please allow me to follow up with you regarding your interests? I would like to send you the E-book "Water is Life" as a thank you for taking the survey.

Name

Email Address

Phone Number

Question Title

* 2. Where are you with drinking water?

I rarely drink water, maybe ice.

I know I should but I have to force myself.

I'm obsessed with staying hydrated and look for ways to make it better.

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Question Title

* 3. How concerned are you about the increasing volume of plastic water bottle trash?

Don't care. I throw them out the window of my car.

I try to limit what I buy, reuse and recycle.

I have my own personal water bottle. It grieves me to see the plastic trash.

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* 4. Do you feel like you need more energy because you seem to have less than you want?

100 I'm fine I have too much energy already.

My energy level is inconsistently good and not good.

0 I can barely get out of bed.

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* 5. What is your opinion on your ability to consume nutritious food?

My diet is excellent so I do not believe in nutritional supplements.

I try to eat healthy but I could use some advice.

I eat a lot of junk food but I care a lot about the benefits of healthy food and need nutritional supplements.

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* 6. Which activities do you do now or are interested in learning more about?

Bicycling

Snorkeling or Scuba Diving

Adventure Travel

Simple Exercises so I can start slow

Hiking

Camping

Survivalist Skills

Do it yourself (DYI) projects

Other (please specify)

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* 7. How open are you regarding spiritual ideas and eternal life?

I have my ideas but they are private and I don't want to hear about yours.

I am openly searching for spiritual meaning, purpose and significance.

Spiritual concerns are my top priority. I will discuss my beliefs even if I don't exactly share yours.

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