Free Wellness Evaluation

Welcome GEM, I’m your COACH KAYYDEE

You made it. You decided to stop waiting and start working for it. Your journey begins the moment you decide to change your life. You’re here because you need some accountability. Most of your choices and daily habits come from the community you surround yourself with. Let’s join together and lock arms on this journey. YOU DESERVE HOW I FEEL! Let’s GET STARTED.
THIS COULD BE YOU

NEVER FORGET WHY YOU SAID YES IN THE FIRST PLACE
Fill out your Wellness Evaluation Below

LET’S GROW! LET’S CHANGE!
Contact Name and Phone*
When is a good time to phone you

MorningAfternoonEvening
E-mail*
example@example.com
Real results for real people. Whether your goal is to * Lose weight * Gain weight * Shape up * Increase energy this is for you. See some of our many results from all over the world below. YOU'RE NEXT!
Have you tried HerbaLife before?*

YesNo
What meal do you typical skip?*

breakfastLunchDinner
Do you eat a variety of colourful fruits and veg?*

YesNoSometimes
Do you drink at least eight glasses of water per day?*

YesNo
What are your health goals currently? (tick all that apply)*

Weight lossWeight GainIncrease EnergyOther
Do you know atleast 3 people that will support you and your goals?*

YesMaybeOther
How serious are you about your health goals?*

Very seriousREADY COACH! LOCK ME IN!
Do you have any health condition I should know about?*

YesNoOther
Congratulations on finishing your FREE WELLNESS EVALUATION. Please click the submit button below. Coach Kayydee will contact you soon to talk about what's next with helping you reach your GOALS!
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Welcome GEM, I’m your COACH KAYYDEE

THIS COULD BE YOU

Fill out your Wellness Evaluation Below