Vitamin Fingerprint Food Analysis

The dietary information you will be providing is the beginning of something BIG! The information you provide will be entered into a proprietary software that will either confirm your success in a diet that meets all nutritional goals OR help find nutritional gaps within that diet. Our mission is to help people identify these nutritional gaps and make dietary suggestions to maximize your nutritional goals and feel their best. So please be as accurate as you can when you take this survey.

Do your best to provide (3) days of the food you eat (including ALL sides) and the beverages you drink. Be as specific as you can. Instead of using words like "salad" or “cheeseburger”, use more specific words such as "salad with lettuce, tomato, onions, beets and shredded cheddar" or “cheeseburger with tomatoes, pickles and onions”. You will be notified with an email that has your vitamin fingerprint report card as well as a recommendation of which formula is best for you. If you’re lucky enough, your diet may have an A+ report card and you won’t need anything!

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* 1. First Name

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* 2. Last Name

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* 3. Email

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* 4. Age

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* 5. Gender

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* 6. Home zip code

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* 7. What do you typically eat for breakfast? (separate each food by a comma)

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* 8. What did you typically eat for lunch? (separate each food by a comma)

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* 9. What do you typically eat for dinner? (separate each food by a comma)

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* 10. What (if anything) do you typically eat in between meals each day? (separate each food by a comma)

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* 11. What beverages do you typically drink throughout the day? (separate each beverage by a comma)

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* 12. What (if anything) do you typically drink in between meals each day? (separate each beverage by a comma)

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