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Please take a few minutes to answer these questions honestly for complete results
Ask yourself these questions honestly for complete results Yes No
I wake up with a positive "can do" attitude most days I sleep soundly and awaken feeling refreshed and ready to go I easily manage life's daily stresses without excess nervous tension I have good mental clarity: memory/focus My level of energy is balanced – I'm able to move through daily activities with ample Sustained energy, without caffeine
When I do physical work or exercise, I recover quickly with minimal soreness or stiffness
I have adequate muscle strength I feel well most days – have infrequent colds/flu and downtime I have good digestion and elimination I am satisfied with my hair quality, e.g. thickness/gloss/colour I am satisfied with my skin quality, e.g. moisture, scarring, etc. For women: My monthly menstrual cycle is regular and uneventful, e.g. without PMS
I am free from headaches I am free from Degenerative/auto-immune conditions I am free from food and environmental allergies/sensitivities I am free from High/Low blood pressure I am free from High/Low blood sugar levels I am free from Respiratory issues, e.g. asthma, bronchitis, other I am free from Symptoms from previous illnesses I am free from Pain, e.g. neck, back, knees, other I am free from Circulation issues, e.g. cold hands/feet, other Name:____________________ Phone:____________________ Email:_____________________ Best time to call:____________
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