Product Questionnaire

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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.

first and last name *

Phone number email address *

Which part of your body are you most unhappy with? *

What do you struggle with most? *

low energy

falling asleep at night

stress

losing weight

poor diet

skin care

hair growth

Other:

Required

Do you eat clean, decent, or very unhealthy? *

Do you drink coffee? *

Yes

Do you have a sensitivity to caffeine *

Yes

Do you work out? *

Yes

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? *

1-10

11-20

21-30

31+

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? *

yes, absolutely

not sure, tell me more

not right now

not at all, but thank you

Other:

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