Medix Select-Energis

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* 1. Please tell us how Energis has worked for you. Please try to share any specifics such as how it has helped increase your energy level and improve your overall health.

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* 2. Please let us know if there are any changes that you would like made to the product.

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* 3. Please let us know if there are any additional products that you would like to learn about from Medix Select. - Check all that apply:

Mood Enhancement

Stress Relief

Lactose Intolerance

Vision

Kidney, Liver, and Urinary Tract Health

Bone Health

Vitamin B-Complex Formula

Inflammation

Detox Formula

Other Types of Products:

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* 4. Before submitting your responses, please provide your contact information so that we can confirm that your response is genuine and was not created by any malicious internet malware attempting to manipulate the survey site:

First Name

Last Name

Email Address

Phone Number

City

State

Zip

Country

Release and Consent with Privacy Protection
By clicking "Submit," I hereby agree and consent to allow Medix Health, LLC. to use my testimonial including any photographs, audio, or video footage taken, for advertising purposes. I understand the nature and purpose of this statement, I make it of my own free will, and I recognize that no compensation is expected nor promised. Medix Health, LLC. may also publish my first name,the first initial of my last name, my city, and my state next to my comment. Other information that I provide to Medix Health, LLC (such as my full name) will not be published. For additional information on the use of Testimonials, please see Section 10 titled "User Submissions" in Medix Select's Terms and Use Agreement on our website.

I also state that:
* If I discuss a specific product in my comment, I am a current or past user of that product.
* The information that I include in my comment is accurate and complete.
* I have no material connection to Medix Health, LLC. (i.e., I am not a current or former employee of Medix Health, LLC, or related to a current or former employee of Medix Health, LLC, and have not been offered, or provided, any compensation or item of value in exchange for providing a favorable comment.)

Note: If you would like to provide a photograph to be included with your feedback, please send to feedback@medixselect.com. Please make sure to include your full name, city and state when sending.