ARE YOU MALE OR FEMALE?
Male
Female
Other
HOW OLD ARE YOU?
Under 35
35 - 44
45 - 54
Over 55
WHAT WOULD YOU SAY YOUR BODY TYPE IS?
Slim
Average
Overweight
Obese
HOW OFTEN DO YOU EXERCISE PER WEEK?
Everyday
4-5 Times Per Week
2-3 Times Per Week
Never
AT THE END OF A TYPICAL MEAL, HOW OFTEN DO YOU FEEL LIKE YOU HAVEN'T HAD ENOUGH TO EAT?
All The Time
Often
Occasionally
Never
HOW WOULD YOU RATE YOUR SKIN?
Clean And Clear
Occasional Blemishes
Frequent Breakouts
Constantly Suffer From Acne Or Other Skin Conditions
HOW OFTEN DO YOU DRINK ALCOHOL?
Never
1-3 Times per Week
4-5 Times Per Week
Everyday
HOW OFTEN DO YOU HAVE A BOWEL MOVEMENT?
Twice A Day
Once A Day
Once Every Other Day
Less Than 3 Times A Week
HOW MUCH WATER DO YOU DRINK PER DAY?
8 Or More Glasses
5-7 Glasses
2-4 Glasses
1 Or Less Glass
WHEN DO YOU FEEL TIRED?
Only At Bedtime
Occasionally Late Afternoon
Most Of The Day
I'm Always Tired
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