Name Customize Your Test Since each person is unique we need to know a few more details about your symptoms. This way we can give you the best and most accurate personal results. Please enlist your symptoms below. Thank you, Comfortably Well Make sure to clearly write the name and order number in clear and capital letters on the sealed bag per submission and write your order number, email address and #43191 on the back of the envelope. Number of People To Register OneTwoThreeFour Which Test Did You Purchase? * Single Hair And Blood Test Kit Couples Hair And Blood Test Kit Family Hair And BLood Test Kit Classic Hair Food Sensitivity Test For One Person Classic Hair Food Sensitivity Test For Two Persons Classic Hair Food Sensitivity Test For Four Persons Order id. * You can find your order number in the order email. Person One Name * Your Email * Your Profession * Family Name * Age * Can you please tell us why you choose our product and what was the decisive argument? Issues Person One * Overweight Metabolism Eczema Skin Issues Stomach Issues Other No Issues Please check which of these issues are affecting you I have the suspicion to be intolerant for: * Dairy Gluten Nuts Fish Egg Sesame Other Nothing Which supplements do you take?
