First Name *

Last Name *

Email *

Mobile *

To determine if you need magnesium complete this quiz, then add up your score.

How often do you experience anxiety? *

Frequently (3)

Sometimes (2)

Rarely (1)

Never (0)

How often do you experience stress? *

Frequently (3)

Sometimes (2)

Rarely (1)

Never (0)

Do you have trouble sleeping? *

Frequently (3)

Sometimes (2)

Rarely (1)

Never (0)

Do you have restless legs? *

Frequently (3)

Sometimes (2)

Rarely (1)

Never (0)

Are your hands or feet cold due to poor circulation? *

Frequently (3)

Sometimes (2)

Rarely (1)

Never (0)

Do you have twitching around your eyes or facial muscles? *

Frequently (3)

Sometimes (2)

Rarely (1)

Never (0)

How often do you get muscle cramps or spasms? *

Frequently (3)

Sometimes (2)

Rarely (1)

Never (0)

How often do you get headaches or migraines? *

Frequently (3)

Sometimes (2)

Rarely (1)

Never (0)

How often are you fatigued, lethargic, or low on energy? *

Frequently (3)

Sometimes (2)

Rarely (1)

Never (0)

How often do you eat leafy vegetables? *

Frequently (0)

Sometimes (1)

Rarely (2)

Never (3)

How often do you eat beans? *

Frequently (0)

Sometimes (1)

Rarely (2)

Never (3)

How often do you eat nuts and seeds? *

Frequently (0)

Sometimes (1)

Rarely (2)

Never (3)

Do you eat foods with high sugar, fats, or salt? *

Frequently (3)

Sometimes (2)

Rarely (1)

Never (0)

Do you drink more than 7 alcoholic beverages per week? *

Frequently (3)

Sometimes (2)

Rarely (1)

Never (0)

Do you drink more than 3 cups of coffee or tea per day? *

Frequently (3)

Sometimes (2)

Rarely (1)

Never (0)

Are you taking any kind of diuretic such as Lasix, Aldactone, Microzide? *

Frequently (3)

Sometimes (2)

Rarely (1)

Never (0)

0-5 - No need for additional Magnesium at this time, what you’re doing is great.

5-15 - Supplemental magnesium or increasing your intake of Magnesium rich foods is recommended.

>15 - Both supplemental magnesium and improving your dietary intake of magnesium is recommended.