Your Health Matters
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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printable version
printable version