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personalized health quiz
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1.
how do you feel when you wake up in the morning?
(Required.)
ready to tackle the day!
it’s really hard to wake up…
my body is sore, my mind is foggy
Other (please specify)
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2.
how many cups of coffee do you have per day?
(Required.)
I don’t drink coffee
just once in the morning
2-3 a day
4+ a day
Other (please specify)
3.
how many ounces of water do you drink per day?
I don’t drink enough water
20oz +
50oz +
80oz +
Over half my body weight in ounces
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4.
which do you struggle with frequently? (check all that apply)
(Required.)
fatigue
sugar or carb cravings
irritability
breakouts
hair loss
constipation
diarrhea
weight gain
joint pain & body aches
cold hands & feet
menopause symptoms
headaches
thyroid or hormone imbalance
Other (please specify)
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5.
what vitamins or supplements do you currently take?
(Required.)
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6.
do you have a strong understanding of the importance of gut health, blood sugar balance & inflammation control?
(Required.)
Yes
No
Other (please specify)
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7.
how old are you?
(Required.)
18-25
26-35
36-45
46-60
60+
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8.
how well do you sleep at night? (check all that apply)
(Required.)
terrific!
I have a hard time falling asleep
I have a hard time staying asleep and toss & turn a lot
I have a hard time waking up in the morning
I wake up in the middle of the night & can’t get back to sleep
extremely poorly
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9.
how would you like your quiz results delivered to you?
(Required.)
text
email
instagram message
enter your phone number, email or Instagram account here:
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10.
what is your name?
(Required.)