Evaluation Form
Getting Started With Robby Rob
Name
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Email
example@example.com
Where are you located [City, State]
My Goal is To (check all that apply)
*
I want to lose weight overall
I want to gain weight/muscle
I am an athlete
I want more energy
I just want to maintain a healthy lifestyle
I want a better skin care routine
Other
What do you feel is the biggest struggle in getting results?
How soon are you looking to get started?
ASAP
I need a trial first
Not sure/Just interested
Have you ever used Herbalife Nutrition before?
Yes
No
If yes, how long ago?
Less than a year ago
Over a year ago
I am currently using an Herbalife Nutrition product
N/A
What is your budget for your goals?
*
Less than $100
$100 - $250
$250 - $350
Open to recommendations
Are you also interested in learning more about the Herbalife Business Opportunity?
I want to start the business opportunity right away
I am open to learning more
No, I am only interested in using products
Not now, maybe in the future
What do you feel you need from a coach to be successful?
What program are you interested in [check all that apply]
21-day challenges
1:1 couching
I just want to order my products at a discount
I would like to earn money working out a nutrition club
What does the average meal cost when you eat out?
How often do you eat out a week? [yes, Starbucks counts & so does the delivery apps]
Have you tried any other programs to help you reach your goals? What results did you achieve? [ex: social media trends, gym programs, diets, supplements, etc.]
How would you like to be contacted
*
Text Message
Video Call (Zoom, FaceTime, etc..)
Phone Call
Email
In person (if local)
Instagram Handle [@username]
Message any additional information for your future coach?
Optional
Please verify that you are human
*
Submit
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