Wellness Profile
I am so happy you are here! Thanks for taking the time to fill out my online wellness profile! Once you have completed it, I will reach out to you personally and we can chat! I can’t wait to see what the future holds for you!
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What is your name? (First and Last) *
What is your Phone Number? (with area code) *
What is your email address? *
Have you ever used Herbalife products? *
What are your health and wellness goals? *
Required
What would you say is your biggest struggle when it comes to maintaining a healthy eating routine and workout routine? *
What is your current weight? *(this wont be shared with anyone)* *
How tall are you? *
How old are you? *
What is your gender *
Have you tried other wellness products/programs before? If so, what were your likes and dislikes about them? *
Do you currently eat 3 meals a day? *
Required
Do you snack throughout the day? *
Required
How much water do you drink throughout the day? *
What else do you drink throughout the day? (Tea - coffee - juice - alcohol - soda - energy drinks) *
How many times a week do you eat out? (Breakfast, lunch, dinner all included) *
Required
On average, how many hours of sleep to you get each night? *
How many times a week do you exercise  *
Required
Would you be interested in learning how to make some money part-time or full-time from the comfort of your own home? *
Required
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