Test for Clients

Find out the best product for you. Answer the following test.

Name: Age: Current weight: Goal weight: Address: E-mail: Phone number:

Personal Habits

How many meals do you do during a day? 1 2 3 4 How many liters of water do you drink during a day? 1 2 3 4 5 How do you consider your intestinal function? Constipated Slow Regular Fast or delicate Do you practice any sport? 0 times a week Once a week Twice a week 3 times a week 4 times a week 5 times a week 6 times a week 7 times a week How many hours a day do you exercise? 0 hours 1 hour 2 hours 3 hours 4 hours 5 hours