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1
Name
First Name
Last Name
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2
Email
example@example.com
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3
What benefits are you MOST looking for in a collagen supplement (check all that apply)?
Reduce fine lines & wrinkles
Help with joint mobility
Healthy Hair, skin, nails
Gut health
Cardiovascular health
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4
Are you watching calorie intake or on any kind of diet?
YES
NO
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5
How would you rate your level of activity?
Extremely active
Moderately active
Sedentary most days
Low to no activity
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6
We carry a fat-loss collagen. Is that something that interests you?
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NO
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7
Are you looking to lose more than 10 lbs?
YES
NO
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8
Are you currently pregnant or breastfeeding?
YES
NO
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9
We carry a collagen skin care line. Is that something you’d like info for as well?
YES
NO
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