10 Day Health Marathon Form

10 Day Health Marathon Form

Hello Gorgeous !!

I'm Lenise! As a Herbalife Distributor, Real Estate Agent, and proud mother of 2, I know firsthand the struggle of trying to get my weight under control while juggling life. I've experimented with countless diets, from HCG injections to the strict Dr. Cohen diet, but none provided lasting results. That all changed when I met Coach Wilri from Herbalife. She showed me the power of proper nutrition tailored to my lifestyle, boosting my energy levels and delivering fantastic results. Within 4 short months i managed to drop 13kgs and am still losing every day. Now, I'm passionate about paying it forward and helping other women achieve their health goals. Let me take your hand and guide you on a journey to discover the real YOU—the healthy way.
Full Name*

First NameLast Name
Cell Number*
Whatsapp OR Telegram Number (if different)
Email*
example@example.com
Facebook, Instagram, WhatsApp, Telegram.Referred by a friendAttended Pamper PartyOther
Your 10 Day Health MarathonYour VIP Client option
I need to lose weightI need more energyI need motivationHealthy BreakfastI need more structure & routineI want to gain some weight & lean muscle
What other programs / products have you tried in the past?*
Why do you feel that these other program(s) did not work?*
Skip BreakfastI eat Cereals or ToastI eat Bacon & EggsOther
How many glasses of water do you drink daily?*
R30 - R45 per dayR45 - R65 per dayR65 - R85 per dayR85 - R100 per dayR100+ per day
AcneConstipationBloatednessMuscle or Joint PaintFatigueMigraines or HeadachesHeartburnInsomniaPMSUlcersPoor CirculationHigh Blood PressureLow Blood PressureNone
Is there anything else you would like to share with me which might help me assist you best?
NoYes I am buying products from someoneI am a Preffered CustomerI am a DistributorI am not sure
Thank you for completing your form. After submitting the form, I will be in contact with you within 24hrs.
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