ZENAURA

Zenaura.store@gmail.com / Zenaura_

Name:_________________
Email:_________________
Phone:_________________

ZENAURA FORM
Date:_______________
Before (Personal Information):
 Age:
 Weight:
 Height:
 Blood Group:
 Blood Pressure:
 Diabetic:
 Sugar:
1) Fasting:
2) Random:
 Any Health History:
__________________________________________________________________
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Remarks after using our Organic Herbal Tea for 11 days twice a day.
Date:_______________
 Weight:
 Blood Pressure:
 Sugar:
1) Fasting:
2) Random:
 How do feel about our Organic Herbal Tea:
_______________________________________________
_________________________________________________________________________________
_____
 Did it make u feel any better, If yes then How? And if no we would recommend you to use it
further for better results INSHAALLAH:
_________________________________________________________
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 Do you recommend our
tea:___________________________________________________________
_________________________________________________________________________________
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