Weight Loss Challenge Registration Form

Wellness Coach Mary

Sleek and Healthy Nutrition About me : I never knew a thing about Nutrition , as a mom of 3 I ate whenever I had time and never made time to take care of ME! I started with Herbalife nutrition almost 3 years ago and have helped hundreds of men and woman get amazing results 💪🏽 Weight Loss , Healthy Gains, Energy, skin care and more. Your time is now ! Remember you can’t make everyone else happy and leave yourself for last .
New mindset new results ! Tell me your goal and let’s get started !

Kindly complete this form and I will get back to as soon as possible. The next 21 days we will start getting active , workouts are available in person & zoom. Lets get fit & healthy ! Remember nutrition is key for fast healthy results. You don’t have to start the 21 challenge in order to get started !
Contact Number
Name

First NameLast Name
Email
example@example.com
Where did you hear about the 21 Day Weight Loss or gain Challenge?

Other
If a friend, what is their name?
In order for us to find out what your Goals are, please specify below what you are expecting from this challenge, and why?
I want to get started but not with the 21 day challenge.
I want to improve in the following areas:
What is your why? (Is there an event you are working towards? or do you wnat to clean up your lifestyle?) Be specific!
Medical Conditions
Do you have any medical conditions or injuries that your Wellness Coach needs to be made aware of?
If yes, please specify:

Do you..............

Would you like more information on becoming part of my Team & earning an extra income?
Have you tried Herbalife before ?
Thank you so much.

Looking forwatd to seeing your amazing results!!

We can have a one on one to discuss goals and figure a plan that works for your schedule .

NOW THAT THE HARD WORK IS DONE

CLICK THE LINK BELOW TO REGISTER
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Wellness Coach Mary