Customer Profiles - All Extra Stuff

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.

hank 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

What our customers say:

HOME - PRIVACY POLICY - DISCLAIMER - SHIPPING POLICY - ADDITIONAL RESOURCES - SITE MAP

Play-Time Concepts Inc.,
P.O. Box 261, Spotswood, N.J. 08884-0261

::adCenter::