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Page 1: HowdoIfeeltodayv2.mw

HOW DO I FEEL TODAY?

…Want To Get The Most Out Of Your Shaklee Supplement Program?...

Before You Begin Using Or Adding Supplements: Rate yourself on a scale of 1-10 in each category below.

After: 7 Days - 14 Days - 21 Days - 30 Days - 60 Days - 90 Days Rate yourself again to see and feel the differences only you

would notice.

Please note: This questionnaire is not intended to judge, diagnose, treat, cure, or prevent any disease. This is simply a way to get a baseline and then track your progress. To get the best results - be honest with yourself.

KEY: 1 would be Low, Bad, Not at all … 10 would be High, Great, Yes!

How do I feel before I get out of bed? 1 …

5 …

10

How do I feel at 3:00 in the afternoon? 1 …

5 …

10

How do I feel when I go up or down stairs? 1 …

5 …

10

How are my focus and my ability to concentrate? 1 …

5 …

10

How’s my mental attitude, moods? 1 …

5 …

10

How do I feel a little while after eating? 1 …

5 …

10

How’s my intake of vegetables, healthy protein vs intake of sugars, breads, snacks, fast food?

1 …

5 …

10

Add your own areas where you’d like to see improvements: 1 …

5 …

10

1 …

5 …

10

1 …

5 …

10

Source: ©2009 Mark AlanAdapted: Maryann Wilshere (11.2009)


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