Health & Wellness Haven Blog

Health Survey

Are you concerned about your health and the health of your family?  With the growing awareness that health is closely linked to good nutrition, people are accepting the responsibility of maintaining good health and preventing disease.  Unfortunately, it is difficult for us to eat three well balanced meals every day and supplementing our diet with the right products is key to maintaining a healthy body.  With so much information out there, we sometimes don’t know where to begin.  Responding to my survey is your first step to a healthier you. 

Do you feel tired most of your day?


What is your level of stress?



Do you get frequent colds?


Do you have difficulty going to sleep?


Do you eat three meals every day?


Do you consume 2 to 3 servings of milk, yogurt or cheese each day?


Are you a vegetarian?


Do you consume a lot of caffeine and sugar in your diet?


Do you take vitamins?


What kind of vitamins do you take?
Are you overweight?


Do you get any exercise?


How would you rate your overall health:




What is your name?
What is your address?
What is your phone number?
What is your email address?
What is your date of birth?


Thank you for completing the survey.  I will contact you for your Free Wellness Consultation as well as saving 15% off on any recommended products.  I also offer a 30 day money back guarantee so you have nothing to lose in trying our top of the line, all natural food supplements.
 
Invest in your health…you’re worth it!
 
Sincerely,
 
Kim Horrell
Wellness Consultant
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