Madi Still’s “Be Healthy” intake survey
Hi! Thanks for completing this form for me :-)
Email address *
On a scale of 1-5, how close are you to your ideal weight? *
I'm FAR from my weight
I've reached my ideal weight
How much weight would you like to lose in the next 90 days? *
Are you interested in trying Herbalife to reach your health goals? *
If you answered "not interested" what is your reasoning?
What supplements do you think you'd benefit from? *
What would you benefit from? *
Would you like to discuss getting your products for a higher discount or for free? *
Is there anything else I should know about you?
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy