Etta J. McQueary : Lifestyle Survey

	Yes	No
Do you exercise at least 3 times a week for a half hour or more?
Do you have a history of degenerative disease in your family?
Do you take a vitamin or mineral supplement?
Do you eat 5-9 servings of fruits & vegetables everyday?
Do you feel that you eat healthy most of the time?
Would you be interested in a convenient way to add the benefits of fruits and vegetables to your family's diet everyday?

Name:
Email: or phone:

Juice Plus+® provides nutrition from 17 different fruits, vegetables,
and grains in convenient and inexpensive capsule form.