Test Healthy

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