Online Health Assessment Do you take vitmains regularly? Yes No Would you like to know what foods you might be allergic to or vitamins you are deficient in? Yes No Do you know if you have any of the below allergies? (CHECK ALL THAT APPLY) Milk Eggs Fish Shellfish Tree Nuts Peanuts SoyaBeans Wheat Ragweed Do you take more than 3 different kinds of vitamins/per day? Yes No Have you ever taken a powder-based vitamin/supplement? Yes No Do you know if the vitamins you are taking are pharmaceutical grade? Yes No Do you feel differently when you don’t take your vitamins? Yes No Do you pay more than $100/month for your supplements? Yes No What are the health goals that you would like to improve, select all that matter (CHECK ALL THAT APPLY) Immunity Sleep Stress Energy Fitness Digestion Hair Skin and Nails Heart Bones and Joints Brain Fog Are you often around people who might be Immunocompromised (Children or the Elderly)? Yes No Email Submit
