Happy Gut. Happy Life.
Jeni Turner - jeturner614@icloud.com
Full Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Age
*
18-25
26-34
35-44
45-54
55-64
65+
How active are you most days?
*
not very active
moderately active
very active
What do your energy levels look like most days?
*
poor
fair
good
very good
What do your current stress levels look like?
*
not stressed at all
somewhat stressed
very stressed
How many hours of sleep do you typically get?
*
less than 6
6-8 hrs
8-10 hrs
What are some of your health goals?
*
increased energy
weight loss
better sleep
stronger hair, nails & skin
better digestion
better immune health
clearer skin
better nutrition
more exercise
increased focus & mental clarity
How ready are you to make changes in your life?!
*
1
2
3
4
5
6
7
8
9
10
Are you currently working with a Plexus Ambassador?
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yes
no
What is the best way to follow up and connect with you?
*
text message
phone call
email
instagram messenger
facebook messenger
Anything else you want to share with me? Goals? Struggles you need help with?
Between you and me, only. Promise!
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