Before You Begin-Quick Safety Screen

Do you have a pacemaker or any other implanted medical devices? *

Yes, I have a pacemaker or implanted device

No, I do not have any implanted medical devices

Are you currently pregnant (or think you might be)? *

Yes

No

Are you on the blood thinner Xarelto? *

Yes

No

Notes(Optional)

The Olylife Tera‑P90, Tera-P90+, Galaxy Googles, Shaken Massager & Vitality Wand use PEMF (Pulsed Electromagnetic Field) and Terahertz Energy. These devices are wellness devices and are not intended to diagnose, treat, cure, or prevent any disease. This quick screen helps ensure comfort and safety for anyone who might be sensitive to these energies.

What would you like to feel or achieve using the Olylife Tera‑P90/Tera P90+?

Improve circulation /alleviate cold hands or feet

Ease discomfort and general aches or pains in the body

Alleviate inflammation

Help manage stress or calm the mind

Enjoy better sleep or more vivid dreams

Refresh and recharge energy levels

What would you like to achieve using the Galaxy Googles?

Improved vision

Alleviate tired or dry eyes

What would you like to achieve using the Shaken Massager?

Reduce visceral fat

Improve digestion

Improve menstrual cramps

Alleviate back discomfort

Signature *

Clear

Date *

A Recovery Experience You Can Feel Immediately

Tera P90+

Vitality Wand

Galaxy G-One

Shaken Massager

Before You Begin-Quick Safety Screen