Nutritional Evaluation

Using the information provided by you from a form I will email/mail to you upon request, a report is prepared based on research relating statistical cases of how people felt and the nutritional supplements they took to feel better.  It is not intended as a prescription or substitution for good health care by a professional.  A Wellness Profile is provided with the instructions to fill out a Questionnaire.  This information is than compiled to provide you with:

                    1.   A summary showing you the high and low percentiles and where your responses score.   This is helps you meet your health goals a natural way.

                    2.   An analysis that contains dietary information relating to specific areas of your Wellness Profile with a high percentile.

                    3.   A supplement guide suggests, when compared to others with similar problems, the daily nutritional support with supplements that would benefit you achieving optimum health, naturally.

This evaluation is done for only $15.00 and your results are forwarded to you by either of email, fax or postal service.

If you desire a response within 72 hours, please add $20 or a total of  $35.00.

 

email to:  dwardell@totalwellness.com                                     Phone: (440) 256-1911

                                                                     

Please submit the following information on an email requesting the Questionnaire, all information is desired and helpful, but those identified with an * are required fields:

Name (first and last):*

Email Address (if you want to be contacted via email):

Address (street/City/State and Zip Code (if you want to be contacted by snail mail)

Area Code and Phone Number (not required, but desirable)

Fax Number: 

Age:*

Cholesterol Level:*

HDL:*

LDL:*

Blood Pressure:*

Blood Type:

The following information is for payment of the requested Wellness Questionnaire. If you desire to submit credit card information via telephone,  please call (440) 256-1911 or you may submit by snail mail and check to:

Total Wellness Group        7736 Joseph Street          Kirtland, Ohio 44094

Credit Card (Mastercard/Visa/Discover/American Express)

Expiration Date (MM/YY)

Do you desire to receive your response within 72 hours of our receipt of the wellness questionnaire?

wellnessprofile@totalwellness.com