Are you ready for Financial Freedom?
I can't wait to lock arms with you!!! This form will help me identify how to best help you start your new business!
Name
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First Name
Last Name
Phone Number
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Email
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example@example.com
Social Media links (Instagram, Facebook, TikTok)
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How did you come across my website?
What interests you the most?
1:1 coaching
Incentive trips
Earning a residual income
Retiring from your current career
A community of like-minded individuals
Other
Tell me about YOU! Your background, family, and what interests you the most in starting a Plexus business?!
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Personal Health Information
Please take a moment to fill out this portion based on your health needs.
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Weight
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Gut Health
If I had to describe my health in one word it would be
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. My biggest issue is
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What are your top 3 struggles?
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Are you currently taking any pharmaceuticals, or over the counter medications?
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