NETSCAN - ONLINE FOOD INTOLERANCE TEST

£130
(Includes delivery charge)

As you will have your NETSCAN recording unit
2nd and subsequent scans (for your friends and family) are charged at 90

Click here for Currency Conversion Rates.

If you feel you would like to speak with Mr Kielty on the phone or Skype before proceeding please email in the first instance to arrange a suitably convenient time for both of you. email

Once we receive this completed health information form and PayPal payment we will post out your personal NETSCAN scanning kit. We will email you to let you know that we have received payment and that your scanning kit is in the post. Take great care when completing your name and address details below to ensure that your information is full and clear and supported by a post code where applicable. Your scanning kit will be sent by registered post and we will send you tracking info once we have it.

Within 48 hours of receiving your nervous system signal Mr Kielty will test it against 108 foods. 9 Major "E" numbers. 30+ Herbs and Spices. Animal hair/skin. Dust/Feathers etc. He will then write a comprehensive report outlining the individual foods that suit your nervous system and those that don't. The written report will be in the region of 5-6,000 words. If there are any unusual foods that you eat on a regular basis and that you would like tested then please do let us know in the further information box below. If you are suffering from any respiratory or digestive system disorders this will also be addressed in Mr Kielty's report and advice given.

To continue please fill out the following form:

Your FREE! 243 page E-book (worth 10.00)
will be sent out at the same time as your NETSCAN results and health report

This is a secure webpage and can only be accessed by Mr GERARD KIELTY.
All correspondence is strictly private and confidential.; under no circumstances will any of this information be passed to a third party now or in the future.


If you have any questions about this please contact Mr Gerard Kielty
in person by clicking here
This form should take no longer than 5 minutes to complete

   
Full Name:     
Address:     
Please write your postal     
delivery address clearly     
with post code if     
applicable.     
Email Address:     
Important!
Home Telephone:     
Important!
Skype Name:     
Age Group:     
Sex:     
How did you hear about Health Scan:     

A 'single' payment of £130 is all you pay - no matter how many boxes you check.

DO YOU SUFFER FROM?:
(Check box where applicable)

 
Nausea
Epilepsy
 
Asthma
Sleep Problems
Arthritis
M.E.
Migraine/Headaches
Diarrhoea
Nasal
Constipation
Post Nasal Drip
Bloated Stomach
Irritable Bowel Syndrome
Memory
Hayfever
Mood Swings
Thrush
Colic
Mouth Ulcers
Eye Sensitivity
Eczema
Heartburn
Itchy Skin
Dermatitis
Irritability
Athletes Foot
Libido
Depression
Hyperactivity
Colitis
Crohns Disease
P.M.T.
Tinnitus (Ringing in the ears)
Dizziness
Regular Ear Infections
Lethargy
M.S.
Weight
Concentration
Stress
Catarrh
Loss of confidence
Rhinitis
Coughing
High Blood Pressure
Hot Flushes
Low Blood Pressure
Haemorrhoids
Panic Attacks
Palpitations
Sciatica
Sinusitis
Sneezing
Tourette Syndrome

 
Please tick the boxes that apply to you:
 
Are you/have you taken at any time antibiotics more than once a year on average?
 
Do you gag/almost vomit when brushing your teeth?
 
If your blood pressure is not normal please
TICK BOX and give details in information box below
 
Do you suffer from cramp?
 
Do you suffer from gout?
 
Do you take vitamins daily?
 
Do you take minerals daily?
 
Do you smoke?
 
Do you sweat more than normal?
 
Do you have a massage more than once a month?
(If so please give details of oils used if possible in the info. box below)
 
Do you have any medically diagnosed "allergies"?
(If so please specify in information box below)

Further Information: Please use the free space below to tell us about any other foods or substances (not listed above) that you regularly ingest or are exposed to and any further medical history that you feel may be important.

Do you take on a daily basis:
(Check box where applicable)
 
Cod liver oil?
 
Evening primrose oil?
 
Garlic (as a remedy or in food)?
 
Non prescribed remedies of any kind?
(If so please give full details in further information box above)
 
Do you use essential oils on a regular basis?
 
Do you drink herbal teas on a regular basis?
 
Are you a vegetarian?
 
Do you have a sweet tooth?
 
Do you cook regularly with herbs and spices?
 
 
  Required
I UNDERSTAND THAT NETSCAN ONLY WORKS ON WINDOWS BASED LAPTOP COMPUTERS

    
When you click on the NEXT button we will automatically receive your completed health information form. You will also be taken to the PayPal website to make your payment. We will acknowledge receipt of your form and payment as soon as they arrive.

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