Welcome to the JUST FREE FIT Wellness Evaluation! :)
Thank you for trusting in me and taking the time to take my wellness evaluation. Enjoy!
BASIC INFORMATION
Don't worry your information is confidential!
Full Name
*
First Name
Last Name
Phone Number
-
Area Code
Phone Number
Location
City and State
Age Range:
18-25
26-32
33-41
42-50
51+
Email
example@example.com
(OPTIONAL) Social Media. Do you have Instagram account? If so, Please drop your handle below. Example: @Justshaft
How would you like me to contact you? (Check all that applies)
Phone
Text
Email
Social Media
What time of day is best? (Please check all that applies)
Morning
Afternoon
Evenings
ACTIVITY
Hooray! You are half way there. Please answer as truthful as possible so that I may better assist you.
Select which of the following interest you most?
Weight Loss
Weight Gain
Build Muscle
Need More Energy
On a scale from 1 to 5. How active are you on a daily?
1
2
3
4
5
Worst
Best
1 is Worst, 5 is Best
On a scale from 1 to 5. How active would you like to be?
1
2
3
4
5
Worst
Best
1 is Worst, 5 is Best
Would you like additional details on 1 on 1 training sessions? (For In-person or Virtual options offered)
Yes! Absolutely
NO
Not Right Now.
Are you a bike rider?
PRODUCT
Excellent! Your almost done. A few more question to go!
What is your price range?
Less that $100
$100-$200
$200-$250
$250+
Are you interested in a forever discount on your products?
Yes! Absolutely
Tell Me More
Do you enjoy helping others?
Yes
NO
Are you interested in earning extra income while achieving your goals?
YES
NO
NOT RIGHT NOW
Have you used Herbalife Before?
YES
NO
If you answered yes, How long ago?
When are you looking to start new nutrition lifestyle plan?
RIGHT NOW
TOMORROW
NEXT WEEK
Congratulations!
You have reached the end of step 1! Please review your information to make sure all options are clear before submission.
Signature (Just to acknowledge that you agree that you are submitting your information for wellness evaluation. That you give I the permission to reach out to you in regarding your submission today.) Please remember to click the Submit button after Signature is given below. Thank you so much. :)
Submit
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