Whole Body Reset Application
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Name and Surname
E mail address
Cellphone/mobile number
Please tell me why you think you're a good candidate for the Whole Body Reset Program?
What result/s would you love from the Whole Body Reset Program?
What, if any, other health programs have you tried?
What do you think your biggest obstacle is to having optimal health and high vitality?
On a scale of 1-10, now committed are you to overcome your obstacle/s to optimal health?
Not committed at all
I'm prepared to do whatever it takes
Clear selection
If you don't overcome your health obstacle/s, what will the consequences be for you? What will happen if you don't take action to improve/optimise your health?
Do you fast/have you ever fasted?
Clear selection
If you answered 'yes' to the above question please describe what type of fasting you've done and when you did it?
Do you have the financial resources to invest in your transformation journey?
Clear selection
When was the last time you attended a health/transformation seminar or program?
Clear selection
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