Form cover
Page 1 of 2

Take our short quiz to find out if an IV Vitamin Infusion could benefit you.

Do you regularly struggle with feelings of tiredness and fatigue, even after a good sleep?

Do you regularly struggle with feelings of tiredness and fatigue, even after a good sleep?
A
B

How would you generally rate your overall mood out of 5?

How would you generally rate your overall mood out of 5?
Not GoodVery Happy

How regularly do you exercise?

How regularly do you exercise?
A
B
C
D

Do you have difficulty recovering from exercise or struggling with cramps and muscle soreness?

Do you have difficulty recovering from exercise or struggling with cramps and muscle soreness?
A
B

Do you have a hard time relaxing?

Do you have a hard time relaxing?
A
B

On a normal day, how would you rate your ability to concentrate?

On a normal day, how would you rate your ability to concentrate?
TerribleExcellent

Your first name

Your email address

Your phone number