CultiVit Recommendation Prototype

Before we begin

A little about you

Gender (optional)

FemaleMalePrefer Not To Say

Goals · Q1

What would you most like to improve right now?

Choose up to 3.

More Energy Better Focus Better Recovery Better Hydration Daily Wellness Healthier Hair Healthier Skin Maintaining Healthy Habits Weight Management

Goals · Q2

What would make the biggest difference to your day?

More Sustained Energy Better Mental Clarity Better Sleep Less Stress Better Workout Recovery Better Hydration Feeling Healthier Overall

Lifestyle · Q3

Which best describes your lifestyle?

Busy Professional Parent Fitness Enthusiast Student Retired Other

Lifestyle · Q4

How often do you exercise?

Rarely 1–2 Times Weekly 3–4 Times Weekly 5+ Times Weekly

Lifestyle · Q5

How much time do you spend outdoors during daylight hours?

Less Than 15 Minutes 15–30 Minutes 30–60 Minutes More Than 60 Minutes

Known Facts · Q6

Have you ever been diagnosed with any of the following?

Select all that apply.

Vitamin D Deficiency Vitamin B12 Deficiency Iron Deficiency None Of The Above Prefer Not To Say

Challenges · Q7

How often do you experience an afternoon energy slump?

Never Occasionally Frequently Almost Daily

Challenges · Q8

How would you rate your sleep quality?

Excellent Good Average Poor

Challenges · Q9

How often do you feel stressed or mentally drained?

Rarely Sometimes Frequently Almost Daily

Habits · Q10

How much water do you typically drink each day?

Less Than 1 Litre 1–2 Litres 2–3 Litres More Than 3 Litres

Habits · Q11

Which statement best describes you?

I Struggle To Stay Consistent With Wellness Habits I Know What I Should Do But Don't Always Do It I Have A Fairly Good Routine I Am Very Consistent With My Wellness Routine

Wellness Journey · Q12

What best describes your current wellness journey?

I'm Just Getting Started I'm Building Consistency I'm Focused On Performance I'm Focused On Long-Term Wellness I'm Working Towards A Personal Wellness Goal

Almost done

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