Which Supplements Do you need?

To Start:

1. I am in good health and I want an economical pack that has the most important nutrients in it. If yes, click either Men's Foundation Pack ($75.30) or Women's Foundation Pack ($84.30).
   
   ~ or ~
   
   I want help in making a pack designed specifically for my age, gender, general health conditions, and lifestyle. If yes, continue with the questionnaire.
1. Age


Teens	20's	30's	40's	50's	over 60

The Basics

2. 2. Gender
   

   Male	Female	Expecting Female

3. 3. Are you:
   

   Overweight	Normal	Underweight

4. 4. If you are overweight, would you like to have normal weight for your age and height?
   

   Yes	No

5. 5. Do you exercise?
   

   less than once a week	3 times a week or more

Exercise Level (sustained physical activity: weight training, running walking, pilates, yoga, etc.)

6. 6. Do you train for competitive endurance athletics (run/ bike/ swim)
   

   Yes	No

Energy/Attitude

7. 7. Do you lack energy most of the time?
   

   Yes	No

8. 8. Are you restless/have a hard time relaxing?
   

   Yes	No

Food and Nutrition

9. 9. Are you a vegetarian?
   

   Yes	No

10. 10. Do you eat organically as much as possible?
    

    Yes	No

11. 11. Is your appetite strong and you would like to reduce it somewhat?
    

    Yes	No

12. 12. Do you eat at least 1 serving of green leafy vegetables a day?
    

    Yes	No

13. 13. Do you crave sugar?
    

    Yes	No

Medical

14. 14. Have you used any antibiotics in the past two years?
    

    Yes	No

15. 15. Do you have high blood pressure?
    

    Yes	No

16. 16. Is your cholesterol level high?
    

    Yes	No

Overall Health

17. 17. Do you have problems with bone density?
    

    Yes	No

18. 18. Are you interested in the latest (and expensive!) cutting edge anti aging products?
    

    Yes	No

19. 19. Do you get sick frequently?
    

    Yes	No

20. 20. Do you heal slowly?
    

    Yes	No

21. 21. Do you have trouble falling asleep?
    

    Yes	No

22. 22. Do you smoke tobacco?
    

    Yes	No

Skin

23. 23. Would you like to add our premium line of skin care products to your packet? These neutraceuticals are designed to keep your skin smooth firm and radiant. High potency doses of proven skin enhancers: Pomgranate, Alpha Lipoic Acid, L-Glutamine, Wild Salmon Oil, Tocotrienols, DHA, Conjugated Linoleic Acid, and resveratrol.
    

    Yes	No

Bones and Joints

24. 24. Do you have joint pain?
    

    Yes	No

Lifestyle and Market input

25. 25. How do you rate your interest in being healthy?
    

    Very High	High	Average	Fair