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Which do you identify with?
 
Athlete
 
Student
 
9-5 Worker
 
Stay at home parent
 
Other
 

 
 
 
How often do you exercise per week?
 
1 day
 
2 days
 
3 days
 
4 or more

 
 
 
How much time do you spend per week studying or working?
 
10 hours or less
 
10-20 hours
 
20-30 hours
 
30-40 hours
 
 
 
Which of these issues do you have? List any other related issues
 
Finding motivation to start work/studying/working out
 
Staying focused while working/studying/working out
 
Retaining knowledge
 
Recovering after workout
 
Staying attentive for long periods of time
 
Staying energetic for long periods of time
 
Having energy after work/school
 
Other
 
 
 
 
If you could have a dietary supplement to help you with an aspect of your life what would it do?
   
 
 
 
Have you ever taken a dietary supplement before?
 
Yes
 
No
 
 
 
How much do you spend per month on supplements?
 
15-20 dollars
 
20-30 dollars
 
30-40 dollars
 
40-50 dollars
 
50 dollars or more
 
Not Applicable
 
 
 
What are the biggest issues you have with staying fit?
 
Deciding how to workout
 
Dieting right
 
Cooking
 
Staying Motivated
 
Knowing supplements to take

 
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