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Customer Profiles

Our customer profile section is designed to customize your experience with us.  Please take a few minutes to answer the questions below.  If you should decide to order from us, we will have your likes and dislikes in mind as we pick custom samples for you to try. Please understand that we will never share your information with anyone else: it is simply a tool to better serve your needs. Thank you.

Thank you for your submission to the customer profile section. I will personally review your profile and get back to you soon with your own custom solution. If for any reason you may wish to contact me, you may do so at  barry@MySupplementShop.com.



NAME: 


ADDRESS:
CITY:


STATE:
ZIP:


PHONE: (OPT)


E-MAIL ADDRESS:
ARE YOU OVER 18? YES    NO   
 
WHAT ARE YOU CURRENT FITNESS GOALS?    
LOSE WEIGHT  
GAIN WEIGHT  


INCREASE ENERGY
 
BUILD IMMUNE SYSTEM  


REDUCE BODY FAT
 
POST WORKOUT RECOVERY  


INCREASE MASS
 
TONE AND MAINTAIN FLEXIBILITY  


INCREASE STRENGTH
 


INCREASE STAMINA
 


OTHER:
 
WHAT PRODUCTS DO YOU CURRENTLY USE?    
 
OF ALL PRODUCTS YOU HAVE USED IN THE PAST - WHICH HAVE WORKED THE BEST FOR YOU?
 
OF ALL PRODUCTS YOU HAVE USED IN THE PAST - WHICH HAVE NOT WORKED, OR HAVE YOU DISLIKED? WHY?
 
ARE YOU PARTICIPATING IN ANY SPORTS? IF SO WHICH?


 
ARE YOU WEIGHT TRAINING? YES    NO 
DO YOU DO CARDIO WORK? YES    NO 
DO YOU DO CIRCUIT TRAINING? YES    NO 
 
DO YOU HAVE ANY HEALTH PROBLEMS SUCH AS:  
HIGH BLOOD PRESSURE  
HEART DISEASE  


THYROID PROBLEMS
 


PROSTATE PROBLEMS
 


SEIZURES
 


OTHER:
 
AFTER VIEWING OUR SITE, ARE THERE ANY PRODUCTS YOU WOULD LIKE TO SEE US CARRY?
 
IF WE BRING THEM IN-WOULD YOU LIKE US TO E-MAIL YOU ?
YES    NO       
 
WHAT ARE YOUR FLAVOR PREFERENCES?    
IN PROTEIN SHAKES?
IN NUTRITION BARS?
 
WHAT IS YOUR LEAST FAVORITE FLAVOR?    
IN PROTEIN SHAKES?
IN NUTRITION BARS? 
 
IF FOLLOWING A LOW CARB LIFESTYLE IS A GOAL - PLEASE TELL US IF YOU WOULD LIKE TO SEE ANY OTHER SPECIFIC LOW CARB ITEMS
 


PLEASE SHARE ANY COMMENTS WITH US, OR FEEL FREE TO ASK ANY QUESTIONS REGARDING OUR SITE OR PRODUCTS
         


 

Thank you for your time,

Barry DeHart, Owner
MySupplementGuy.com