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Product Questionnaire
Hey there, friends!!! Please answer these questions for me, so I can help customize a plan for you...

I look forward to learning a little more about you and helping you reach your goals...

Have a great day and be blessed...

Be sure to text me your name and "questionnaire completed" once you're finished to 605.695.9314.
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first and last name *
Phone number email address *
Which part of your body are you most unhappy with? *
What do you struggle with most? *
Required
Do you eat clean, decent, or very unhealthy? *
Do you drink coffee? *
Do you have a sensitivity to caffeine *
Do you work out? *
Are you comfortable with supplements or would drinks be better? *
When was your last cleanse or detox? *
How much are you wanting to lose to look and feel your best? *
Is there anything you would like to add?! *
Are you interested in learning how you can make a part-time income from home sharing these products? *
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