Individual test for health Your Name (required) Your Email (required) Age (required) Phone number: 1.Evaluation of your health (on a 5-point scale):* ExcellentGoodSatisfactoryUnsatisfactoryBad 2.How much water do you drink per day *Up to 1 liter ( 30 oz)Up to 1.5 liters (45 oz)Up to 2 liters (65 oz)Up to 3 liters (130 oz) a) Your weight in pound/kg: (required) PoundKg b) Your height in feet and inch/cm: (required) Feet and inchMeter 3. How regularly do you partake in anti parasitic cleansing of the body. 1. Every six months2. Once a year3. Rarely4. Never5. I do not remember 4. Mark the signs of intoxication that you have: a) Fatigue and depression YesNo b) Insomnia YesNo c) Bloated, painful or hard stomach YesNo d) Excessive weight, underweight, poor appetite, swelling YesNo e) Spots on the skin, yellowish complexion, dark circles under the eyes YesNo f) Brittle hair and nails YesNo g) Shortness of breath, coated tongue, unpleasant body odor YesNo h) Cold hands and feet YesNo i) Headaches YesNo j) Lower abdominal pain YesNo k) Irregularity of the menstrual cycle YesNo l) Allergies YesNo *If you possess 3 or more of these symptoms of intoxication you may be at risk of toxic poisoning (poisons, toxins, stones, slime, worms, fungi, etc.), development of dangerous diseases and accelerated aging!* 5. How many people are in your inner circle of family and friends, whose health and future you greatly care about?* 6. Are you ready to take one of our educational courses:?* YesNo Share
