How Do You Feel Today?
Many times we forget the little things that were bothering us, until one day we suddenly realize they are no longer with us.
Print this page then rate your symptoms 1 to 3 (3 being the worst), fill in the date, and mark your calendar to review the list in 30 days after you've begun your new diet/supplement program. Many of these may have gotten better and some may even have gone away by that time.
Starting Date:_____________
Date After 30 Days:____________
Rating at:
Start After
Date 30 Days
_____ _____
No Pep
_____ _____
Overweight
_____ _____
Underweight
_____ _____
Splitting Finger Nails
_____ _____
Dull, Thinning Hair
_____ _____
Need Stimulants (like coffee) to keep going
_____ _____
Headaches
_____ _____
Constipation
_____ _____
Bleeding Gums
_____ _____
Bruise Easily
_____ _____
Take Aspirin Often
_____ _____
Poor Digestion
_____ _____
Can’t Wake Up in the Morning
_____ _____
Can’t Fall Asleep
_____ _____
Dry Skin
_____ _____
Leg Cramps
_____ _____
Menstrual Cramps
_____ _____
Great Desire for Sweet Foods
_____ _____
Bad Breath, Smelly Feet
_____ _____
Subject to Colds and Infections
_____ _____
Nervous or Depressed
_____ _____
Various Aches and Pains
_____ _____
Have that Vague “Blah” Feeling
_____ _____
Require Tranquilizers
_____ _____
Use Pep-Up Pills
_____ _____
Use Alkalizers
_____ _____
OTHER: ________________________________
_____ _____
_______________________________________
Shaklee guarantees that you will feel better in 30 days of consistently taking the supplements or your money back. There are no stimulants, ephedra, caffeine, or sugar in them, just nutrients.
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