MENU

Immune Review Survey

0: I rarely if ever feel stressed
1: I have a lot on my mind but I can manage it
2: I have some days that just feel like too much
3: I am in a constant state of feeling overwhelmed
0: I wake up feeling rested in the morning
1: I have difficulty falling or staying asleep
2: I wake up tired even after 6 or more hours of sleep
3: I struggle with insomnia
0: I enjoy physical activity, and this is part of my regular routine
1: I do not exercise but walking, lifting, or climbing stairs is no trouble
2: I avoid walking, lifting, or climbing stairs due to physical difficulty
3: I am unable to walk, lift, or climb stairs unless physically assisted
0: I eat mostly organic, unprocessed foods daily
1: I try to eat fruits and vegetables every day
2: I eat mostly meat and potatoes and enjoy wine or other alcohol daily
3: I eat mostly fast food meals, salty snacks, and sugary desserts daily
0: I take multiple vitamins and supplements daily
1: I take a multivitamin plus one other supplement daily
2: I take one multivitamin a day
3: I take no supplements or vitamins
0: I know my vitamin D level and it is in range
1: I was never told my Vitamin D level was low
2: I have had a low Vitamin D level before
3: Unknown
0: I have never smoked
1: I was exposed to second hand smoking
2: I am a former smoker
3: I am currently smoking or vaping
0: I take no prescription medication
1: I take one prescription medication daily
2: I take two prescription medications daily
3: I take three or more prescription medications daily
0: I have no health issues
1: I have diabetes and/or heart disease
2: I have high blood pressure
3: I have a combination of these and/or other health issues
0: I live in and work in a healthy environment without exposure to toxins or illness
1: I have one healthy environment but could be exposed to toxins or illness in the other
2: I both live and work in environments that could expose me to toxins or illness
3: I know I am being exposed to toxins or illness in one or both environments
Scoring:
0-5 = Strong immune
5-10= Pretty good immune
10-20= Needs some improvement
20-30 = Needs much improvement
*To get your results and suggestions, enter your name, phone number and email address. You will receive a personalized response in regards to the Survey within 24 hours.
Name(Required)
Tell us any additional health information that you would like us to know before contacting you!
Would you like to sign up for our newsletter?(Required)

D-Signed Nutrition