Fierce & Focused to a Healthier You!!
Name
First Name
Last Name
Email
example@example.com
Phone Number
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What is your name on Instagram or Facebook?
How do you Prefer that I contact you?
Texting
E-Mail
Social Media
Have you ever used Herbalife products before?
Yes - I was a retail customer
Yes - I was a Preferred Customer
Yes - I was a distributor
No I havent
I’m not sure
What city and province do you live in?
What are your health and wellness goals?
Weight loss
Weight gain
Overall wellness
More energy
Clear skin
Digestive issues
Heart health
Lean muscle gain
Bulk muscle
Healthy pregnancy
Postpartum recovery
Are you interesting in the products, the business opportunity or both?
The products
The products and the business oppritunity
The products, possibly the business opportunity in the future
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