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Wellness Quiz
Survey Questions
Please select the answers that best fit you.
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1.
First & Last Name
(Required.)
*
2.
What country do you live in?
(Required.)
United States
United Kingdom
Canada
Ireland
Poland
Spain
Lithuania
Other (please specify)
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3.
What is your primary wellness concern?
(Required.)
Digestive health
Hair, skin, and nail health
Immune support
Energy support
Mood & focus
Sleep support
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4.
Are there any secondary concerns?
(Required.)
Digestive health
Hair, skin, and nail health
Immune support
Energy support
Mood & focus
Sleep support
No other concerns
5.
Please add any additional questions or information here
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6.
How can I contact you with your results? (Phone number, email, Instagram tag)
(Required.)