STARLIFE

Products for free

Memory game

Tips on gifts for Christmas:

Problems:

Contact us:
+420 737 252 404, -405
order@starlife.eu

ENQUIRY FOR STARLIFE MEDICAL COUNCIL


Fill in the questionnaire, please.
The questionnaire serves for a right determination of an appropriate and efficient product combination,
the document is not being filed anywhere and is not to be used for any other purposes. Your enquiry will be processed
by STARLIFE Medical Council, then you will receive an e-mail (on the address you state below) with an appropriate answer.

(Vyplňte prosím všechna červeně označená pole)

Enquiry:*

Letters remaining:
 
Personal data
yes no
 
Lifestyle
 Diet
× daily
litres/daily
yes no
 Body weight
kg
kg
yes no
 Food composition
 Physical activity
× daily
 Habits
Pcs/daily
years
× weekly
 Others
hours
yes no
yes no
 
Do you suffer from any of following problems?
A. Cell malnourishment stadium
hair falling
light tiredness, bags under the eyes
nail refractivity, structural changes on nails
light headache
fine wrinkles (eyes, lips, cheeks)
B. Serious cell malnourishment stadium
strong headache, migraines
weak immunity, chronic cold, allergy
thyroid
anemia
bronchi, rhinopharynx, asthma
lungs, respiratory problems
heart
digestive problems, flatulence, heartburn, stomach ulcers
gall bladder
pancreas
chronic tiredness
overweight or underweight
quality of veins, varices
varicose ulcers
feet, hands swellings
pregnancy
kidneys
liver
urinary tract
prostate
gynecological problems, female organs
irregular stool, tendency to constipation
diabetes
cholesterol
eczema, psoriasis
mental problems, nervousness, depression
pains in spine (cervical, hipster)
pains in joints, rheumatism, arthrosis, arthritis
osteoporosis, osteopenia
high blood pressure
low blood pressure
C. Serious cell malnourishment stadium
heart stroke
apoplectic stroke
tumour
cyst, myoma
other problems:
D. Usage of medicaments for blood thinning, other medicaments or food supplements
 
               

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