Customize your gummy! Name * First Name Last Name Email * What are your main health goals? (Select all that apply) * Boost Immunity Improve Digestion Increase Energy Improve Sleep Support Skin Health Stress & Anxiety Relief Weight Management Support Joint Health Other Do you have any dietary preferences or restrictions? * Vegan Gluten-Free Sugar-Free Dairy-Free Nut-Free Other Are there any specific ingredients you'd like to avoid? * Artificial Sweeteners Fillers or Additives GMO Ingredients Other Do you have any allergies? * Yes No What is your age group? * 18-24 25-34 35-44 45-54 55+ How often do you currently take supplements or vitamins? * Daily Several Times a Week Occasionally Rarely/Never How would you describe your current lifestyle? * Sedentary (little or no exercise) Moderately active (light exercise or physical activity) Very active (intense exercise or physically demanding job) What type of flavor do you prefer in your gummies? * Sweet Tart Natural/Herbal No Preference Do you have any current health concerns or conditions you’d like to address with your gummies? * Yes No What’s your preferred method of taking supplements? * Gummies Capsules/Tablets Powder Liquids How would you rate your current stress or anxiety levels? * Low Moderate High How important is the sustainability of the product to you? * Very Important Somewhat Important Not Important Would you like to receive personalized recommendations based on your responses? * Yes No Thank you!
