Your Wellness Snapshot
Get healthier. Look & feel your best. Explore extra income. Simple solutions ā one conversation at a time. Take a moment to share what matters most to you. š
Name
*
First Name
Last Name
Text Number
*
We will send you some great informational videos and suggestions š
Format: (000) 000-0000.
Which of these apply to you? (check all that apply)
*
Struggling to find time for my health
Weight loss / Reach a specific goal
Sleep / Low energy / Fatigue
Gut Health / Bloating / Digestive Support
Stress/Anxiety
Brain fog / Headaches
Immune System
Joint pain / Inflammation
Hormone Balance / Women's Health
Gluten Free Living
Healthier, glowing skin (fine lines, dark spots, dryness, oiliness, acne)
Other concerns not listed? If so, please share?
If weight loss, what's your goal? (i.e. lose 1-10 lbs, 10-20 lbs)
Are you currently working on any health goals? If so, what?
Are you experiencing any of these skin issues? Check all that apply
Signs of Aging / Fine Lines / Wrinkles
Dark Spots / Age Spots
Acne / Acne Scars
Sensitive Skin
Oily Skin
Dry Skin
Personal Growth & Lifestyle Interests (Check all that apply!)
Overall Wellness
More Community/Friendships
Extra Income/Financial Stability
Mindset/Mental health
Personal Growth and Goal Setting
Gifting Made Easy š
Did you know we also help with thoughtful, healthy gifts for any occasion ā family, friends, or even staff appreciation?
Which of these sound most helpful to you?
Gifts for family, friends, teachers
Appreciation gifts for staff or clients
Clean beauty / everyday self-care gifts
Wellness gift ideas
Experience based gifts (tastings, mini-events)
Making gifting easier all year long
Discount options
How can I support you? (check all that apply)
*
Iād love to get recommendations based on my answers
I want to create simple, sustainable healthy habits
I'll gather a few friends to sample products (and get a free gift for me)
I'm open to earning a little extra income by sharing links
I'm open to building a significant income stream
I want to know how to earn free products and save each month
What time of the day in the next couple of days would work for a 15 minute follow-up chat.
*
Between 9am to noon.
Between noon and 5pm
Between 5pm to 9pm
This sounds helpful ā Iād love to connect a few friends or colleagues!
Who can we thank for referring you to this survey?
First Name
Last Name
Mailing address for your thank you gift!
*
Mailing Address
City
State
Zip
Let's Connect! Instagram profile
Facebook profile
What else should we know about you?
Heather Labonte, Regional Vice President
We respect your privacy. Your contact info is only used to connect you with relevant suggestions.
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