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The Vital Check gives you a quick snapshot of your current health. Just answer a few simple questions about how you’re feeling, and you’ll see where you stand.

Here’s the best part: once you’ve completed the Vital Check, your personal advisor will get in touch with you to go through the results together. This way, you’ll know exactly which steps can boost your energy and wellbeing.

Do you have problems with stomach, bowels, or digestion?

yes

Are there certain foods that you cannot eat?

yes

Are you prone to bad skin?

yes

Are you susceptible to colds and infections?

yes

Do you often feel tired and exhausted?

yes

Is it difficult for you, to concentrate over a longer period of time?

yes

Do you often suffer from headaches?

yes

Do you sometimes feel depressed without any reason?

yes

Are you nervous and irritable from time to time?

yes

Do you have trouble falling asleep?

yes

Do you sometimes wake up not feeling rested?

yes

Do you often have muscle cramps or stiff joints?

yes

Do you often feel stressed?

yes

Are you unhappy with your skin, your hair and your nails?

yes

Do you smoke?

yes

Do you eat less than 5 portions of fresh fruits, vegetables and salads each day?

yes

Do you drink less than 2 liters (68 fl.oz.) of clear, calorie-free liquids per day (do not count coffee, tea, alcohol, milk, Coke)?

yes

Do you often eat ready-to-serve meals, fast-food or in a cafeteria?

yes

Do you like to spend time in the sun or a tanning salon?

yes

Do you often diet?

yes

Are you content with your weight?

yes

Do you know your body mass index or your body fat percentage?

yes

Do you know your fat burning range?

yes

Do you do sports?

yes

If yes, how often?

less than 1 h a week

between 1 h and 5 h a week

more than 5 h a week

What are the 3 most important things in your life?

Money

Family

Health

Job

Holiday

Leisure time

Friends

Other

How much is your Well-being worth to you a day?

3 €

4 €

5 €

or more per day

If you could positively influence your Well-being and feel better overall, would you use the opportunity to do so?

yes

Last Name:

First Name:

Street:

Zip and City:

Phone:

E-Mail:

Age:

Optional: Contact person who recommended this page to you:

Do you have any further comments/questions?

Please select both options so we can process your request:

I agree to the storage of my data in accordance with GDPR.

I have read and accept the privacy policy of vitalcheck-online.com.

Vital Check – a quick check-in on your wellbeing

We will contact you personally after receiving the data.