Register for "My 60-Day Planner"
Please note that all fields followed by an asterisk must be filled in.
Date "My 60-Day Planner" Starts?
First Name*
Last Name*
E-Mail Address*
Street Address*
City
State/Prov
Zip/Postal Code
Country* Country United States Canada ---------------- Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory British Virgin Islands Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos Islands Colombia Comoros Congo Cook Islands Costa Rica Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Grenada Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Heard and McDonald Islands Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Ivory Coast Jamaica Japan Jordan Kazakhstan Kenya Kiribadi North Korea South Korea Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Federated States of Micronesia Moldova Monaco Mongolia Montserrat Morocco Montenegro Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Island Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda S. Georgia and S. Sandwich Isls. Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka St. Helena St. Pierre and Miquelon Sudan Suriname Svalbard Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu U.S. Minor Outlying Islands Uganda Ukraine United Arab Emirates United Kingdom Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam US Virgin Islands Wallis and Futuna Islands Western Sahara Yemen Yugoslavia (former) Zaire Zambia Zimbabwe
Your Physical Characteristics:
Age:*
Height::*
Weight:*
Before your Start "My 60-Day Planner":
1. I read E-Book
2. What were the results of your TESTS?A) Baseline PSA Test Result?*
B) Vitamin D Test Result?*
C) Heavy Metal Test Results as follows: Mercury?:*
Cadmium?:*
Aluminum?*
Lead?*
3. Have you purchased all the equipment ?*
If you answered no, what equipment do you still need to purchase?
4. Have you purchased all the supplements ?*
If you answered no, what supplements do you still need to purchase?
5. Have you thrown out your toxic supplies--- including but not limited to: soaps, shampoos, aftershave, lotions, shaving cream, deodorant, sunscreens and fragrance products and purchased the health alternatives?*
6. Have you ordered and received your "Blessed Herbs" kit yet? *
7. How many prescription drugs are you taking?*
Have you discussed with your Doctor which drugs you can eliminate immediately (See E-Book-Addendum 6)?*
If not discuss with your Doctor.Drugs can be very toxic to your body. Eliminating all drugs is important in reducing your toxic load. After discussing your prescriptions with your Doctor, how many drugs are absolutely necessary for you to continue taking?
How many can you eliminate?
8. Alkaline Water--- Are you drinking 1 to 1 1/2 gallons of Alkaline Water with grey sea salt daily?
9. Exercising ---Do you exercise at least 25 minutes per day?
Please enter the word that you see below.