Check your Wellness


Check your Wellness.
A simple test to find out how to live healthier and improve your eating habits.
You will be contacted as soon as possible by one of our Wellness Coaches

  Eating Habits and Lifestyle Table
Do you eat a good variety of colorful fruits and vegetables and at least five servings a day? SI NO
Can you avoid fried foods, condiments, gravies, butter and margarine? SI NO
Do you think you are consuming enough fiber in your daily diet? SI NO
Can you keep your weight balanced? SI NO
Do you usually have time to prepare balanced meals? SI NO
Can you avoid fizzy drinks and unhealthy snacks (fries, sweets) during the day and after dinner? SI NO
Do you have the energy and concentration to carry out your daily activities without feeling tired? SI NO
How many liters of water do you drink per day?  
Which of the following products do You consume coffee, tea, milk, cigarettes, alcohol, carbonated drinks?
Coffee   Tea   Milk  
Cigarettes   Alcohol   Carbonated drinks  
How do you rate your eating habits?
  Excellent   Good   Messy   Very bad
Are you planning to change anything about your eating habits?
 SI  NO
More Info:
Energy Drop   Bloating   Difficult digestion   Stress  
  Personal and Body Data Table
Gender   Male   Female
Age   years
Height   cm
Waist circumference   cm
Neck circumference   cm
Circumference of the hips   cm
Weight   kg
  How would you like to be contacted?
Choose a Gift
Thank you for answering our questions. You will now be able to receive, if you wish, a gift of your choice from the following:
  On-Line Wellness Path
  Visit Wellness at our offices
  Facial Cleansing at our offices
Visit my ecommerce site
Visit my products site

Authorization for data processing (*)

The data entered will NOT be sent to other organizations or third parties.
(*) I authorize the processing of personal data according to the information provided pursuant to art. 13 Legislative Decree. 196/2003 and of the art. 13 of EU Reg. 679/2016, which I declare to have read and accepted.