Health Test How healthy are you? Question one: Do you find it difficult to concentrate? Yes No Question two: Do you lack energy? Yes No Question three: Do you have a chronic illness of any kind? Yes No Question four: How many times have you been sick in the last year? I haven’t been sick in the last year 1-3 times 4 or more times Question five: Does it take you a long time to recover from an accident, illness, injury or surgery? Yes No Question six: Do you have high blood pressure? Yes No Question seven: How often do you eat green vegetables? Daily Every 2-3 days Weekly Question eight: Do you consider that you are overweight? Yes No Question nine: Do you exercise regularly? Yes No Question ten: Do you find it hard to get going in the mornings? Yes No Name:* Email:* Phone: Send me more info on GEVA SuperShake! Professional Field: Please Select An OptionAdministration/PA/SecretaryArts/Music/CinemaAutomotiveBuilding/Construction/MiningEducationEngineeringFinance/AccountingHealth and SkincareInsuranceIT/ComputerLegalLogisticsManagementManufacturingMedicalProperty/Facilities ManagementRetailSales/MarketingSportsTourism/HospitalityTrade/Artisans/TechnicalTraining