Golden Glow Personal Health Appraisal: Buy online and save at Golden Glow

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Golden Glow^® Personal Health Assessment

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With so many products to choose from to support good health - things can often get a bit overwhelming and confusing. To take away some of that confusion, Golden Glow^® has put together a Personal Health Appraisal to help you get a better understanding of your current health status.

This short appraisal consists of several questions related to your main health concern(s) and possible contributing lifestyle factors. Firstly, we ask you to please fill out this short questionnaire and simply submit it back to us for a Naturopath to evaluate.

Once we have received this questionnaire, you will receive a phone call from a Naturopath who will contact with you to gain further information and provide you with health related advice.

Please complete the form below and Submit.

Full Name:*
Gender*:
Age*:
Best Contact number*:
Best Contact day*:
Street No. & Name:
Town/Suburb:
State:
Post Code:
Email address:*
Please outline your main health concern(s)/current medical condition(s):
How long have you had this condition/complaint?
What makes the signs/symptoms worse?
What makes the signs/symptoms better?
Do you have any known allergies/ sensitivities*?
If yes, please list:
Please provide details of relevant medical investigations performed (e.g. blood tests, x-rays etc)
Please list any past illnesses, hospitalisations or surgery (where relevant)
Please outline an average daily dietary intake: i.e. your general diet:
Breakfast:
Morning tea:
Lunch:
Afternoon tea:
Dinner:
Please include how many cups/glasses of fluid you consume daily: One unit = one glass/cup/standard drink
Tea:
Coffee:
Soft drink/cordial:
Water:
Fruit juice:
Alcohol:
Do you smoke?
If yes please list how many per day:
Do you exercise?
If yes please list what type and how often?
Are you on any medications/supplements*?
If yes please list what type, brand, strength and dose:
Females only: Are you pregnant or breast feeding?
PRIVACY DISCLOSURE The personal information you have provided is being collected by Golden Glow^® and its related entities for the purpose of providing naturopathic advice to you and suggesting vitamins and supplements which may assist you. In this process, we may also collect certain sensitive information from you including details regarding your medical history, your history of therapeutic goods use and your health issues. We understand that in providing such sensitive information that you consent to us collecting that information for this purpose. If you do not provide the information requested, we will be unable to assist you with your inquiry and to provide you with accurate advice and recommendations. The information you provide is treated with the greatest confidence. It will be stored on a database that is accessible only by the Golden Glow^® naturopath team - so that the information is available if you call or email us again. If you would like to access your personal information, you may contact our Privacy Officer. If you would like to read our Privacy Policy, click here. Please check this box to confirm that you understand and agree to the above.
* Indicates Required Fields


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L Scholz - QLD

I have been taking Golden Glow® products for many years. I have been taking Celery and Juniper capsules for arthritis and urinary tract infections. Taking these daily I don’t need to go to the doctors for other medications. I also take Slippery Elm for the digestive System.

Kim Thomas - VIC

I have always had trouble with muscle contractions but now I take Golden Glow® Calcium & Magnesium Complex and have had great results with my overall health, it has also helped ease menstrual pain.

Christine J Dorady - NSW

Golden Glow® Meno-Support Plus has all the essential goodies that support women through the menopause in just one daily tablet. Thank you Golden Glow Natural Health Products.

Lauren Neidig - WA

I have been with Golden Glow Natural Health Products for over 13 years and have used many products, but the one I love is,Olive Leaf Extract which helps me to fight off colds and infections.

Rachael Herring - TAS

"While I had taken multi-vitamins in the past, I found Golden Glow products® to be superior and at competitive prices. Recently my husband was feeling run-down so I put him onSuper One a Day, he hasn’t looked back since"

Pam Cotton - VIC

I feel the staff at Golden Glow Natural Health Products are like old friends, always having time to give advice. My latest success is the 'Joints in Motion™ Cream' which is the best thing I’ve ever used on aching joints.