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Home > Customer Profiles

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

 

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