Please complete the following 4 questions:


1. How is your skin tone/color?

  Radiant, glowing
  Plain
  Sometimes red and irritated
  Dull and haggard

2. How would you describe the elasticity of your skin?

  Tight, firm
  A bit loose
  Sags around cheeks and jaw line
  My neck droops a bit

3. Are you experiencing wrinkles? How is your skin texture?

  Smooth, wrinkle free skin
  I’m starting to see fine lines
  I have lines/crows feet by my eyes
  I have wrinkles

4. How is your energy level?

  I have a steady stream of energy all day
  I’m tired in the morning
  I have an afternoon energy lull
  I have an afternoon energy lull

5. Name   

6. Age   
That is it. You're finished!

*These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease. Regain and Maintain should be taken as part of a healthy lifestyle and individual results may vary. The individuals shown are paid models, and not necessarily Regain and Maintain customers.
© 2007 All rights reserved. Sunrise Health & Nutrition Inc.