Vitamin Support Questionnaire-3

1
Name* This field is required.
First Name
Last Name
2
Gender* This field is required.
Male
Female
Prefer not to say
3
Age* This field is required.Be honest
4
Email* This field is required.We do not use this email to spam ever, and we don't share email addresses.
example@example.com
5
Terms and Conditions* This field is required.Your Information will never be shared
6
Why are you thinking about your vitamin needs?* This field is required.Please select below
I am an Athlete and want to up my game
I want to boost my immunity
I am just curious
I am scheduled for or just had surgery
I want to improve my general health
7
Do you have health concern/s?* This field is required.
Yes
No
8
What are your top three health concerns* This field is required.
None
Weight
Stress
Mood
Energy
Fitness
Immunity
Menopause
Aches and Pains
Inflammation
Hair, Skin, and Nails
Heart Health
9
Are you on a special meal plan?* This field is required.please select what best describes your plan
None
Plant Based
Vegan
Paleo
Keto
Pescatarian
10
Are you currently participating in regular exercise?* This field is required.
Yes
No
11
If you answered yes to regular exercise, please select which best applies to your exercise routine?* This field is required.
Strength and Conditioning
Swimming
Yoga/Pilates
Running
Walking
MMA Training
12
If yes to both exercise questions, Are you sore after your workouts?* This field is required.
A good sore
Sometimes
OMG I can't walk or lift my arms
13
Mood and Stress Level* This field is required.
Super Chill
Stressed all the time
Lack of motivation
Lack of focus
Manageable Stress
Relatively happy but feeling discouraged
Recent life events have me spiraling downward
14
Energy Levels* This field is required.Use your last seven days and average it out
Need a little boost
Always tired
I tend to crash in the afternoons
No complaints
15
Joint and Bone Health?* This field is required.
Tendonitis
Osteoporosis
Osteoarthritis
Rheumatoid Arthritis
None of the above
16
How do you Sleep* This field is required.
Like a baby
My mind races
Intermittently
I toss and turn
I have a snorer beside me
17
Do you have weight loss goals?* This field is required.
Nope
3-10 Lbs
10+ Lbs
18
Do you get adequate exposure to the sun?* This field is required.Adequate would be 20-45 minutes daily without sunblock or covered up
Yes
No
19
Are you concerned about your Hair, Skin and Nails?* This field is required.
Yes
No
20
Do you experience?* This field is required.Select all which apply to you
Adrenal Issues
Chronic Pain
Chronic Fatigue
Mood Swings
Loneliness
Lack of Drive
None of the above
21
Do you smoke tobacco?* This field is required.Daily
Yes
No
22
Do you drink alcohol?* This field is required.
Yes
No
23
Do you eat Red Meat?* This field is required.2-3 times a week
Yes
No
24
Do you eat Fish?* This field is required.2-3 times a week
Yes
No
25
Beauty Patch (Biotin, Vitamin B7)* This field is required.
26
Energize Patch (Vitamin B12 Patch)* This field is required.
27
Restore Patch (Zinc)* This field is required.
28
Strength Patch (Iron)* This field is required.
29
Wellness Patch (Vitamin D3 + C)* This field is required.
30
The Super8 B Complex* This field is required.
31
Defense Bundle* This field is required.
32
Support Bundle* This field is required.
33
Total Package Bundle* This field is required.
34
Stamina Bundle* This field is required.
35
Duplicate-Beauty Patch (Biotin, Vitamin B7)* This field is required.
36
Duplicate-Energize Patch (Vitamin B12 Patch)* This field is required.
37
Duplicate-Restore Patch (Zinc)* This field is required.
38
Duplicate-Strength Patch (Iron)* This field is required.
39
Duplicate-Wellness Patch (Vitamin D3 + C)* This field is required.
40
Duplicate-The Super8 B Complex* This field is required.
41
Duplicate-Defense Bundle* This field is required.
42
Duplicate-Support Bundle* This field is required.
43
Duplicate-Total Package Bundle* This field is required.
44
Duplicate-Stamina Bundle* This field is required.
45
Top 1* This field is required.
46
Top 1st Product* This field is required.
47
Top 2* This field is required.
48
Top 2nd Product* This field is required.
49
Top 3* This field is required.
50
Top 3rd Product* This field is required.
51
Top 4* This field is required.
52
Top 4rd Product* This field is required.
53
Answer* This field is required.
Beauty Patch (Biotin, Vitamin B7)
Energize Patch (Vitamin B12 Patch)
Restore Patch (Zinc)
Strength Patch (Iron)
Wellness Patch (Vitamin D3 + C)
The Super8 B Complex
Defense Bundle
Support Bundle
Total Package Bundle
Stamina Bundle
Why are you thinking about your vitamin needs?
What are your top three health concerns
Are you currently participating in regular exercise?
If you answered yes to regular exercise, please select which best applies to your exercise routine?
If yes to both exercise questions, Are you sore after your workouts?
Mood and Stress Level
Energy Levels
Joint and Bone Health?
How do you Sleep
Do you get adequate exposure to the sun?
Are you concerned about your Hair, Skin and Nails?
Do you experience?
Do you eat Red Meat?
Do you eat Fish?
Total
Why are you thinking about your vitamin needs?
What are your top three health concerns
Are you currently participating in regular exercise?
If you answered yes to regular exercise, please select which best applies to your exercise routine?
If yes to both exercise questions, Are you sore after your workouts?
Mood and Stress Level
Energy Levels
Joint and Bone Health?
How do you Sleep
Do you get adequate exposure to the sun?
Are you concerned about your Hair, Skin and Nails?
Do you experience?
Do you eat Red Meat?
Do you eat Fish?
Total
Beauty Patch (Biotin, Vitamin B7)
Energize Patch (Vitamin B12 Patch)
Restore Patch (Zinc)
Strength Patch (Iron)
Wellness Patch (Vitamin D3 + C)
The Super8 B Complex
Defense Bundle
Support Bundle
Total Package Bundle
Stamina Bundle
Beauty Patch (Biotin, Vitamin B7)
Energize Patch (Vitamin B12 Patch)
Restore Patch (Zinc)
Strength Patch (Iron)
Wellness Patch (Vitamin D3 + C)
The Super8 B Complex
Defense Bundle
Support Bundle
Total Package Bundle
Stamina Bundle
Beauty Patch (Biotin, Vitamin B7)
Energize Patch (Vitamin B12 Patch)
Restore Patch (Zinc)
Strength Patch (Iron)
Wellness Patch (Vitamin D3 + C)
The Super8 B Complex
Defense Bundle
Support Bundle
Total Package Bundle
Stamina Bundle
Beauty Patch (Biotin, Vitamin B7)
Energize Patch (Vitamin B12 Patch)
Restore Patch (Zinc)
Strength Patch (Iron)
Wellness Patch (Vitamin D3 + C)
The Super8 B Complex
Defense Bundle
Support Bundle
Total Package Bundle
Stamina Bundle
Beauty Patch (Biotin, Vitamin B7)
Energize Patch (Vitamin B12 Patch)
Restore Patch (Zinc)
Strength Patch (Iron)
Wellness Patch (Vitamin D3 + C)
The Super8 B Complex
Defense Bundle
Support Bundle
Total Package Bundle
Stamina Bundle
Beauty Patch (Biotin, Vitamin B7)
Energize Patch (Vitamin B12 Patch)
Restore Patch (Zinc)
Strength Patch (Iron)
Wellness Patch (Vitamin D3 + C)
The Super8 B Complex
Defense Bundle
Support Bundle
Total Package Bundle
Stamina Bundle
Beauty Patch (Biotin, Vitamin B7)
Energize Patch (Vitamin B12 Patch)
Restore Patch (Zinc)
Strength Patch (Iron)
Wellness Patch (Vitamin D3 + C)
The Super8 B Complex
Defense Bundle
Support Bundle
Total Package Bundle
Stamina Bundle
Beauty Patch (Biotin, Vitamin B7)
Energize Patch (Vitamin B12 Patch)
Restore Patch (Zinc)
Strength Patch (Iron)
Wellness Patch (Vitamin D3 + C)
The Super8 B Complex
Defense Bundle
Support Bundle
Total Package Bundle
Stamina Bundle
Beauty Patch (Biotin, Vitamin B7)
Energize Patch (Vitamin B12 Patch)
Restore Patch (Zinc)
Strength Patch (Iron)
Wellness Patch (Vitamin D3 + C)
The Super8 B Complex
Defense Bundle
Support Bundle
Total Package Bundle
Stamina Bundle
Beauty Patch (Biotin, Vitamin B7)
Energize Patch (Vitamin B12 Patch)
Restore Patch (Zinc)
Strength Patch (Iron)
Wellness Patch (Vitamin D3 + C)
The Super8 B Complex
Defense Bundle
Support Bundle
Total Package Bundle
Stamina Bundle
Beauty Patch (Biotin, Vitamin B7)
Energize Patch (Vitamin B12 Patch)
Restore Patch (Zinc)
Strength Patch (Iron)
Wellness Patch (Vitamin D3 + C)
The Super8 B Complex
Defense Bundle
Support Bundle
Total Package Bundle
Stamina Bundle
Beauty Patch (Biotin, Vitamin B7)
Energize Patch (Vitamin B12 Patch)
Restore Patch (Zinc)
Strength Patch (Iron)
Wellness Patch (Vitamin D3 + C)
The Super8 B Complex
Defense Bundle
Support Bundle
Total Package Bundle
Stamina Bundle
Beauty Patch (Biotin, Vitamin B7)
Energize Patch (Vitamin B12 Patch)
Restore Patch (Zinc)
Strength Patch (Iron)
Wellness Patch (Vitamin D3 + C)
The Super8 B Complex
Defense Bundle
Support Bundle
Total Package Bundle
Stamina Bundle
Beauty Patch (Biotin, Vitamin B7)
Energize Patch (Vitamin B12 Patch)
Restore Patch (Zinc)
Strength Patch (Iron)
Wellness Patch (Vitamin D3 + C)
The Super8 B Complex
Defense Bundle
Support Bundle
Total Package Bundle
Stamina Bundle
Beauty Patch (Biotin, Vitamin B7)
Energize Patch (Vitamin B12 Patch)
Restore Patch (Zinc)
Strength Patch (Iron)
Wellness Patch (Vitamin D3 + C)
The Super8 B Complex
Defense Bundle
Support Bundle
Total Package Bundle
Stamina Bundle
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1 Top 1st* This field is required.
55
2 Top 1st* This field is required.
56
3 Top 1st* This field is required.
57
1st: {top1st}

Benefits:

{1Top}

{2Top}

{3Top}
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1 Top 2nd* This field is required.
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2 Top 2nd* This field is required.
60
3 Top 2nd* This field is required.
61
2nd: {top2nd}

Benefits:

{1Top149}

{2Top150}

{3Top151}
62
1 Top 3rd* This field is required.
63
2 Top 3rd* This field is required.
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3 Top 3rd* This field is required.
65
3rd: {top3rd}

Benefits:

{1Top155}

{2Top156}

{3Top157}
66
1 Top 4th* This field is required.
67
2 Top 4th* This field is required.
68
3 Top 4th* This field is required.
69
Thanks
Should be Empty:

Thanks