🌱 Wellness Survey 🌱
Well hi! I’m so glad you’re here. Filling out this form will help me better guide you on ways I can be of assistance! Not to mention, it will also help remind me who to stay in touch with as new products launch! Healthy living isn’t a one size fits all approach, and I’m honored to possibly have the chance of being on this journey with you. -Traci Kasper
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Instagram handle
Rate your day to day energy levels (1-10)
How’s your digestion 💩 (1-3 solid a day) Go a little or too much?
How’s your digestion (💩)
Once a day
Multiple times a day
Every other day
Really messed up 🙃
How’s your sleep? Do you struggle to fall or stay asleep?
How’s your sleep?
Amazing - easy to fall and stay asleep
Tough time falling asleep
Tough time staying asleep
What sleep???
Do you workout? If so, how often & what type of workouts?
What are some habits that aren’t serving you?
What are some habits that aren’t serving you?
Poor nutrition
Lack of consistency
Big sweet tooth
No routine
Other
Do you currently take supplements? (Vitamins, collagen, greens, etc)
What are your health goals? What would you love to improve?
Want more info on
Overall nutrition
Skincare
Bodycare
Gut reset: 2 weeks or 30 days
Are there any specific Arbonne products that peak your interest?
Do you desire more positive community and connection?
Do you desire a more positive community and connection?
Yes! Who wouldn’t?
Nope, I’m good, thanks!
Possibly, tell me more & I’ll decide
Are you open to other opportunities for more income? Yes, no, possibly
Are you open to the possibility of other streams of income?
Sure, why not!
Possibly, tell me more & I’ll decide
Not at this time
Looking forward to changing your life! 😘 -Traci
Submit
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