Imaglow Questionaire

Taken over 3 months. Two tablets daily.

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Name: *
Email address: *
How much water do you drink each day? *
 a. none
 b. 1 - 3 glasses
 c. 4 - 6 glasses
 d. 7-10 glasses
How many exercise sessions do you do each week? *
 a. none
 b. 1-2 sessions
 c. 3-4 sessions
 d. 5-7 sessions
How do you think a nutritionist would describe the type of food you eat each day? *
 a. Unhealthy – less than ideal
 b. Half unhealthy food and half healthy food
 c. Very healthy and balanced
What is your age group? *
 a. 20-29 years old
 b. 30-39 years old
 c. 40-49 years old
 d. 50+
Have you ever been a smoker? *
 a. no
 b. yes – but have given up
 c. yes – I currently still smoke
What best describes your daily skincare routine? *
 a. I don’t have one
 b. I cleanse and moisturize my skin but am not particular about what I do
 c. I am particular about caring for my skin and the products I use.
How much sleep do you get each night? *
 a. never enough – I always feel tired and sleep deprived
 b. I would like more sleep but generally am ok with what I get
 c. I usually get enough sleep and wake up feeling refreshed
How much ongoing stress do you have in your life be it professional or personal? *
 a. Very little
 b. Moderate
 c. High
 d. Crazy high – off the chart!
What results would you like to see from taking Imaglow™? *
 a. To help soften fine lines and wrinkles.
 b. To strengthen and firm up my skin
 c. Improve general skin imbalances
 d. Improve brittle, dry hair and nails
Do you always wear sunblock to protect your face? *
 a. Not usually
 b. Sometimes I do but I am not diligent
 about it
 c. I always wear a daily sunblock on my face
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