Get Started

Welcome to mymmunity, !

You’re on your way to receiving your very own custom immune support formula.

All selected ingredients will be blended together and placed into custom capsules, just for YOU!

Gender

Age

BMI - Height

BMI - Weight

BODY TYPES

ISQ - Intro

In this next set of questions, please indicate how often you have had the following complaints in the past year:

ISQ - 1

ISQ - 2

ISQ - 3

ISQ - 4

Skin problems (e.g. acne & eczema):

Never
Sometimes
Regularly
Often
(Almost) Always

ISQ - 5

ISQ - 6

ISQ - 7

GENERAL - Do you often feel tired and exhausted and/or have fatigue not helped by rest?

In the past year...
Have you felt tired and exhausted and/or have had fatigue not helped by rest?

Yes

Sometimes

GENERAL - Do you regularly experience gas, bloating, and/or tummy trouble?

In the past year...
Have experienced gas, bloating, and/or tummy trouble?

Yes

Sometimes

GENERAL - Do you have regular bowel movements? (No more than 3 times per day and no less than once every 3 days)

In the past year...
Have you had regular bowel movements?
(No more than 3 times per day and no less than once every 3 days)

Yes

Sometimes

GENERAL - Do you exercise at least 30 minutes a day, 5 days per week?

In the past year...
Have you exercised at least 30 minutes a day, 5 days per week?

Yes

Sometimes

GENERAL - Do you spend at least one hour per day outdoors?

In the past year...
Have you spent at least one hour per day outdoors?

Yes

Sometimes

GENERAL - Do you tend to have dry skin and cracked lips?

In the past year...
Have you often had dry skin and cracked lips?

Yes

Sometimes

GENERAL - Do you have trouble sleeping and/or suffer from insomnia?

In the past year...
Have you had trouble falling/staying asleep at night and/or suffer from insomnia?

Yes

Sometimes

GENERAL - Do you have close contact with many people on a regular basis outside of household family members?

In the past year...
Have you had close contact with many people on a regular basis outside of household family members?

Yes

Sometimes

GENERAL - Are you often exposed to stressful situations?

In the past year...
Have you often been exposed to stressful situations?

Yes

Sometimes

GENERAL - Do you eat at least 8 servings of fruit and vegetables per day (a serving is ½ cup)?

In the past year...
Have you eaten at least 8 servings of fruit and vegetables per day (a serving is ½ cup)?

Yes

Sometimes

GENERAL - Do you smoke?

GENERAL - Do you experience headaches and/or nausea when exposed to environmental chemicals, perfumes, and/or prescription drugs?

Do you experience headaches and/or nausea when exposed to environmental chemicals, perfumes, and/or prescription drugs?

Yes

Sometimes

SECTION 2 - Intro

In this final set of questions, please indicate in what ways you typically experience colds and flu or how you respond to infection:

SECTION 2 - Sore throat:

SECTION 2 - Stuffy nose or sinuses:

SECTION 2 - Swollen lymph nodes:

SECTION 2 - Ear infection:

SECTION 2 - Stomach aches:

Last page 1

Congratulations!
You have now completed the mymmunity questionnaire and are about to see your recommended personalized immune health formula

Last page 2

Remember, you can ADD or REMOVE ingredients to suit your needs

and

All ingredients in your mymmunity formula will be blended together and placed into custom capsules, just for YOU!

What's your first name?

Intro

Gender

Age

BMI - Height

BMI - Weight

BODY TYPES

ISQ - Intro

ISQ - 1

ISQ - 2

ISQ - 3

ISQ - 4

ISQ - 5

ISQ - 6

ISQ - 7

GENERAL - Do you often feel tired and exhausted and/or have fatigue not helped by rest?

GENERAL - Do you regularly experience gas, bloating, and/or tummy trouble?

GENERAL - Do you have regular bowel movements? (No more than 3 times per day and no less than once every 3 days)

GENERAL - Do you exercise at least 30 minutes a day, 5 days per week?

GENERAL - Do you spend at least one hour per day outdoors?

GENERAL - Do you tend to have dry skin and cracked lips?

GENERAL - Do you have trouble sleeping and/or suffer from insomnia?

GENERAL - Do you have close contact with many people on a regular basis outside of household family members?

GENERAL - Are you often exposed to stressful situations?

GENERAL - Do you eat at least 8 servings of fruit and vegetables per day (a serving is ½ cup)?

GENERAL - Do you smoke?

GENERAL - Do you experience headaches and/or nausea when exposed to environmental chemicals, perfumes, and/or prescription drugs?

SECTION 2 - Intro

SECTION 2 - Sore throat:

SECTION 2 - Stuffy nose or sinuses:

SECTION 2 - Swollen lymph nodes:

SECTION 2 - Ear infection:

SECTION 2 - Stomach aches:

Last page 1

Last page 2