Hope you are ready for this journey! The following questions below will allow us to get a better understanding of where you currently stand and the goals you wish to accomplish. Assure to answer each and every question as accurately as possible so we can build a program according to your goals !look forward to helping you transform into the best version of yourself
Name
*
First Name
Last Name
Gender
*
Female
Male
Age
*
Height (ft)
*
Weight (lbs)
*
What is your goal ? (Weight loss/weight gain/health)
*
Why is it important for you to reach this goal?
*
What are you searching for?
guidance/ don’t know what to eat
Consistency
Accountability
Community
What do you feel stops you from achieving your goal ?
*
What are your goals ?
*
Reduce Body Fat - Lean&Fit Program
Gain muscle - Building program
Improve overall health - accountability program
Weight loss program
Besides the gym how would you describe your daily activities?Please answer accordingly!
*
Sedentary - you spend a lot of time sitting at a desk (bank teller, desk job, graphic designer, customer service)
Light Activity - Spend a good part of the day on your feet (teacher, salesman, barber)
Moderate - Spend a good part of the day doing physical activity (waitress, mailman)
Very Active - Spend most of the day doing heavy physical activity (mail man, carpenter, construction worker, warehouse jobs, full time dancer)
Days per week exercising?
*
4 or less
5 most of the time
6 or more
What foods are you currently eating throughout the day? ( give us an example of what you had yesterday )
*
Will you be training at home or a gym facility?
*
Home
Gym
I will not be training, i just want a nutrition plan
Have you tried Herbalife products before ?
*
First time !
Years ago
Currently taking my products
If yes, reach out to your coach !
If no contact with coach, continue with survey !
When would you like to start ?
*
I’m ready TODAY!
This upcoming monday
Next week
How much are you willing to invest in you?
*
135+
$185-$200 I’m ready !
250-300 IM ALL IN
Give me all that I need !
Instagram user
*
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Submit
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