Work with Lauren
Thank you for making this life changing decision ! I'll be here to support you in becoming the best version of yourself! Let's start by learning more about who you are and the goals we will soon achieve together. Please complete the form below to the best of your ability. I will then contact you within 24-48 hours to receive next steps to helping you in your health journey.
Name
First Name
Last Name
What is your age ?
18 and younger
18 to 20 years
21 to 30 years
31 to 40 years
41 to 50 years
51 to 60 years
70 + years
Where are you based?
Town , province ?
What’s your contact number?
-
Area Code
Phone Number
What is your social media handle?
Please be specific with social Media (Eg Lauren Lara deelie -Facebook, laurenlaradeelie -Instagram)
What are you current weight goals?
What are your current weight goals ?
I want to lose weight
I want to maintain my body
I want to gain muscle /weight
I want to glow my skin
I want the business opportunity
I want the business opportunity & improve my body
Which of the below do you regularly skip? Select all that apply
Breakfast ?
Dinner?
Lunch?
Snacks?
Water intake?
Do you have food allergies?
Do you currently or have you used Herbalife nutrition products in the past?
Yes
No
What’s your preferred budget
R750-R1000
R1500-R2000
R2500-R3000
R5000+
Are you interested in joining my 10 day marathon challenge in addition to one on one coaching ?
Yes , let’s do it!
Not yet
I would like more information.
Briefly provide further details regarding your current health goals and what areas of focus you would like to work on together:
Please send me your most recent picture
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