Home    FAQ     Register Now    Contact Me    Testimonials

Step 1:


Step 2:

Online Health Awareness Survey


*The health survey below is what all profiles must complete in order to be added to the profile database. The survey must be completed entirely, (no partially completed surveys) otherwise the profile will be rejected and not be added to the database. Once you have enrolled in the system, you will be granted access to the database. You can search the entire database using advanced filtering options to find the profiles that match your exact interests.


Q: Would you like to learn the root of all disease and how to prevent it?


  • Yes
  • No

Q: What is your main health interest?


  • I want more energy
  • I want to lose weight
  • I want to strengthen my immune system
  • All of the above
  • Other

Q: How much weight do you want to lose?


  • 5-10 lbs
  • 10-20 lbs
  • 20-30 lbs
  • 30+ lbs
  • None

Q: On a scale of 1-10, how important is your health?

  • 10
  • 9
  • 8
  • 7
  • 6
  • 5
  • 4
  • 3
  • 2
  • 1

Q: The most important factor in determining which product you buy is:


  • Price
  • Quality/Results
  • Convenience
  • Name Brand
  • Other

Q: How much money do you currently spend each month on health related products?


  • $20-40
  • $41-60
  • $41-80
  • $81+

Q: Do you suffer from joint pain?


  • Yes
  • No

Q: Have you taken vitamin supplements before?


  • Yes
  • No

Q: Would you like relief from stress?


  • Yes
  • No

Q: Are you familiar with the powerful health benefits of anti-oxidants?


  • Yes
  • No

Q: Are you interested in learning how to create a safer, toxic free home environment?


  • Yes
  • No

Q: Are you intersted in learning about health products for children?


  • Yes
  • No

Q: Are you interested in learning about health products for pets?


  • Yes
  • No

Q: What age group are you in?


  • 20 - 29
  • 30 - 39
  • 40 - 49
  • 50 - 59
  • 60 - 69
  • 70 - 79
  • 80+

Q: Best time to be contacted by phone


  • Morning
  • Afternoon
  • Evening
  • Weekends only

Q: Have you ever purchased anything online?


  • Yes
  • No

OPTIONAL - Check any of the following health challenges in which you have a specific interest.


  • ADD/ADHD
  • Allergic Reactions
  • Allergies/Hay Fever
  • ALS
  • Alzheimer's
  • Arthritis Inflammation
  • Asthma/Bronchitis
  • Bruising/Cracking Skin
  • Cancer Risk
  • Carpal Tunnel Pain
  • Cataracts/Glaucoma
  • Chronic Fatigue
  • Constipation
  • Crohn's
  • Damaged Artery Lining
  • Diabetic Retinopathy
  • Diabetes
  • Eczema
  • Fibromyalgia
  • Frequent Infection/Flu/Colds
  • Gout
  • Headaches
  • hemorrhoids
  • Hepatitis C
  • High Blood Pressure
  • High Cholesterol
  • High Histamine Levels
  • Immune Deficiency
  • Joint Flexibility
  • Low Energy and Stamina
  • Lupus
  • Menopause/PMS
  • Migraines
  • MS
  • Muscle Cramps
  • Obesity
  • Parkinson's
  • Phlebitis
  • Poor Capillaries
  • Poor Circulation
  • Pre-Mature Aging
  • Prostate Problems
  • Poor Lower Leg Blood Volume
  • Psoriasis
  • Respiratory Inflammation
  • Rough Skin
  • Sexual Disfunction
  • Skin Problems
  • Spasms
  • Sports Injuries
  • Syndrome X (pre-diabetic state)
  • Ulcers
  • Vascular Disease
  • Varicose Veins
  • Vertigo
  • Weak Arteries and Veins
  • Weak Cell Vitality

Q: What is your time zone?


  • Newfoundland
  • Atlantic
  • Eastern
  • Central
  • Mountain
  • Pacific
  • Alaska
  • Hawaii-Aleutian
  • Guam
Home    FAQ     Register Now    Contact Me    Testimonials