Testimonial Form Solaris Whole Health Nutrition Plans Testimonial and Feedback FormFirst Name: Last Name: Date: MM slash DD slash YYYY Age Location Profession Questions (Please answer as thoroughly as you can. Help us help you! Your opinion matters to us.) 1. How did you hear about Solaris Whole Health Nutrition & Lifestyle Plans or the Solaris Premium Collection of Products? 2. What were your greatest health concerns prior to coming to Solaris Whole Health or taking a one of the Solaris Premium Collection of Products ? 3. How has Solaris Whole Health or taking a one of the Solaris Premium Collection of Products helped you in the following areas? Digestion Emotions/Stress Energy/Vitality Weight Ears Nose Lungs Skin Headaches Mouth/Throat Heart Joints/Muscles Eyes Mental Clarity 4. Have you been to other nutritionists before, tired other nutrition plans or other products ? If so, how is Solaris Whole Health Nutrition & LifeStyle Plans or the Solaris Premium Collection of Products different?In Your Own Words (Please describe how Solaris Whole Health has benefited your life.)Feedback (Tell us what we can do to serve you better.) 1. Would you go out of your way to recommend Solaris Whole Health Nutrition & Lifestyle Plans or the Solaris Premium Collection of Products to a friend or relative? Yes No What would you tell them about Solaris Whole Health Nutrition & Lifestyle Plans or the products you have tried from the Solaris Premium Collection? 2. Are there any areas of Solaris Whole Health Nutrition & Lifestyle Plans or the Solaris Premium Collection of Products you would like to see improved? 3. Please rate the following on a scale of 1-10 (1 = poor, 10 = excellent): Customer service Product orders Appointments Rate text 4. To keep you motivated and up to date with the latest in nutrition, which mode of communication do you prefer? Facebook Twitter Blog Other other text Miscellaneous Would you be interested in being a featured client on the Solaris Whole Health blog? Yes No May we include your testimonial in our press kit, on our website, etc.? Yes No Please note: We will only include your first name for confidentiality purposes.When completed, you may bring in the form or fax it to us at 908-221-1131. If you have any questions, please call the office at 908-221-1112.
