The Healthstyle Emporium (HSE) Questionnaire
Work with me & get monthly mentoring, coaching and guidance as you begin your personal health and wellness journey using our plant-based whole food supplements while also building your own business to financial freedom. Or choose to be an Ambassador and share your experience using our products.
Full Name
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First Name
Last Name
E-mail
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example@example.com
IG and/or FB name:
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Where are you from?
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Tell me about you:
Are you interested in...
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Becoming a Juice Plus Partner + HSE Wellness Coach
An Ambassador of the Juice Plus Products
Tell me about both opportunities, please
What are your health and wellness goals?
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Are you currently following any meal plans, diet plan, or health program? If so, how would you like to improve on these?
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What are your personal & professional goals?
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What do you feel is holding you back from achieving your goals?
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What would you like to achieve?
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Are you coachable and ready for change?
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A full YES!
I'm ready, but I don't know where to start
I'm not sure. There is fear around change
Just looking to chat and ask questions
How much ($) are you willing to invest in your health per week to achieve your goals?
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On a scale of 1-10 (one being the least), how committed are you to achieving your goals?
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Submit
Should be Empty: