Adverse reactions questionnaire
Which product was being taken?
bioniq
GO
bioniq
PRO
What was the number of servings taken per day?
1 x 4ml twice a day
1.5 x 4ml twice a day
2 x 4ml twice a day
Other
Were there any other products (medication/supplements) taken during this period?
How long after you began taking bioniq, did the adverse reactions occur?
Immediately
Within the first 24 hours of starting the vitamin complex
Within 2 weeks after starting to take the vitamin complex
Other
Did similar symptoms occur before taking the formula?
Yes
No
Which symptoms below most accurately describe the reaction at the time you took the formula (you may choose more than one answer)
Nausea
Vomiting
Sharp pain in the abdomen
Dull pain in the abdomen
Trapped wind
Diarrhoea
Constipation
Change in color of stool
Change in color of urine
Skin rash
Itching
Headache
None of the above
Other
I express my consent to the
storage and processing of my personal data
Thank you!
Your submission has been received.
Oops! Something went wrong while submitting the form.
