FILL THE QUIZ

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STEP THREE

SPORTS ACTIVITY

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STEP FIVE

I have food intolerances and / or allergies

If yes which? Write here:

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STEP TWENTYTWO

I am diagnosed with type 2 diabetes.

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STEP SEVEN

I am allergic to sun, dust, dogs, cats and more.

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STEP EIGHT

I have joint and / or muscle pain.

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STEP ONE

Personal info

First Name

Last Name

Country

Sex

Age

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STEP SIX

I have skin problems like acne, rosacea, eczema, psoriasis and more.

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STEP TWENTYTHREE

Do you take any medicines for example: Aspirin, Antibiotics, Ibuprofen, Insulin, L-thyroxine, etc.

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STEP TWENTYFIVE

Meat

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STEP TWENTYSIX

Dairy products and eggs

Yoghurt*(Added by default)

Tofu*(Added by default)

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STEP TWENTYSEVEN

Dairy products and eggs

Olive oil*(Added by default)

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STEP TWENTYEIGHT

Vegetables

Lettuce*(Added by default)

Cabbage*(Added by default)

Zucchini*(Added by default)

Carrot*(Added by default)

Broccoli*(Added by default)

Cauliflower*(Added by default)

Ginger*(Added by default)

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STEP TWENTYNINE

Fruits

Blueberry*(Added by default)

Raspberry*(Added by default)

Lemon*(Added by default)

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STEP NINE

I have gastrointestinal problems, such as constipation, diarrhea, irritable bowel syndrome, etc.

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STEP TWO

BODY MEASUREMENTS

Choose

Height

Weight

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STEP TEN

I have frequent headaches and / or migraines.

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STEP ELEVEN

I feel irritable, depressed, out of mood.

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STEP TWELVE

I have an autoimmune disease (Hashimoto’s, rheumatoid arthritis, MS, diabetes 1, etc.)

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STEP THIRTEEN

I have Crohn and / or ulcerative colitis.

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STEP FOURTEEN

I have hormonal and / or reproductive problems.

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STEP FIFTEEN

I often eat sweets or pasta foods.

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STEP SIXTEEN

I am exposed to medium to high levels of stress daily.

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STEP SEVENTEEN

I often get tired all day.

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STEP EIGHTEEN

It’s hard to focus

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STEP NINETEEN

I have diarrhea regularly.

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STEP TWENTY

I often get sick (2 of more times per year).

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STEP TWENTYONE

I have a problem with the thyroid gland.

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ALL DONE!

~~149$~~

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