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Let’s Find out why you are feeling lousy!

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Let’s start this quiz with our mutual love for food. How often do you eat carbohydrate heavy foods? (e.g cake, French fries, full-sugar soda etc.)*

A few times a month(s)

A couple of times a week

Everyday

You are feeling tired and sleepy. You finally get to sleep. You start to enjoy your sleep, then you feel a sudden urge to urinate. Sounds familiar? How often do you wake up, and need to use the restroom?*

I don’t wake up at night to urinate

1 to 2 times per night

3 or more times per night

How often do you drink alcohol?*

Remember - no one’s judging, just be candid.

Never/Occasionally

1-2 drinks per day

3 or more drinks per day

Have you experienced any ‘unexplained’ weight loss in the past year? (The word ‘unexplained’ refers to a spontaneous weight loss that is triggered without any intentional weight loss exercise/diet.)*

No

Some weight loss (about 10 lbs or less in the past 1 year)

Significant weight loss (More than 10 lbs in the past 1 year)

The alarm bell rings, a new day has begun. How do you feel about getting up in the morning?*

I am flying high and ready to take on the world!

After a groggy 15 minutes or so, I am good to go

I am wondering how long it is until I can get back in bed - I’m tired!

100% relaxation is the state when you have nothing at the back of your mind. How often do you feel completely relaxed?*

Rarely

I’m always on edge

Occasionally

Last question. Just curious, do you take medications for high blood sugar?*

Yes

No

Fantastic! Thank you for your time. You are minutes away from getting insights into why you are feeling lousy. Not only that, I am going to share with you some ideas on how you can starting feel better … FAST!*

Please type in your best email so that we can send you a copy of your result?*

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CONTACT: WELLNESS SURGE

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Katy, TX 77449
6028659262

TAKE SHORT QUIZ

Let’s Find out why you are feeling lousy!

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