Congratulations – on taking the first step towards better health.
Once you submit your answers, a trained Vital Plan representative will email you with a free, personalized plan. This survey will only take 2-3 minutes. Your information will be kept confidential. If you have any questions, don't hesitate to call us at (800) 951-2414.
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What's your age? *

SORRY! The Vital Planner TM is not able to recommend supplements for youth who take the survey for themselves under the age of 18. We encourage you to seek advice on proper supplementation for your condition from your doctor or health professional.

Are you male or female? *

Do you have menopausal symptoms such as night sweats, hot flashes, or moodiness? *

Are you a healthy eater (more than 50% of meals are healthy fruits and vegetables)? *

Do you take a multivitamin? *

How many days per week do you exercise for at least 30 minutes? *

How many days per week do you feel stressed? *

Do you have trouble with occasional sleeplessness? *

Do you have a lack of energy on a regular basis? *

Do you have a complete, non-straining bowel movement at least once every day? *

How often do you experience joint discomfort? *

Do you eat fish at least 3 times per week? *

How often do you experience an uncomfortable fullness after eating? *

How strongly do you agree/disagree with this statement: "I need additional immune support." *

Over the past month, how often have you been bothered with "brain fog"? *

Are you in need of additional support for your gut health? *

Are you concerned about your cardiovascular health? *

What are your primary health goals and health concerns? *

What is your first name? *

Would you like to sign up for the Vital Plan newsletter to receive helpful tips, health articles, coupons, and more? *

Thanks for taking the Vital Planner survey! A Vital Plan team member will email you shortly with your free, personalized plan. We typically respond within 24-48 hours but please allow longer if you've submitted this on a weekend. If you have any questions, reach out to our Customer Support team at or 800-951-2414. Have a great day.
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