Customer Needs Assessment

  • Customer Needs Assessment

    Please answer this form so I can assist you in products that may benefit you and your lifestyle.
  • Format: (000) 000-0000.

  • Supplements

  • Do you or would you like to start taking daily vitamins?
  • If yes, do you have issues with tablet vitamins and need gummies?
  • Are you struggling with any of the following?

  • Sports Nutrition

  • Do you drink energy drinks?
  • Would you be interested in a caffeine free energy drink? (Contains B vitamins for energy & natural fruit juices)
  • Do you use any workout products like recovery or pre-workout? (Choose all that apply)
  • Do you currently take electrolytes (ie Gatorade or Powerade)
  • Would you be interested in protein powder or protein drinks?
  • If yes, do you value plant based or whey protein based
  • Do you currently have any personal weight loss goals?

  • Skin Care

  • Do you currently use any skin care products that you aren’t brand dedicated to?

  • Beauty

  • Are you interested in checking out our artistry makeup line? If not skip to the next section.
  • Choose all you typically wear:
  • What is your skin type?

  • Personal Care

  • Would you be interested in checking out our G&H brand of personal care items? If not skip to the next section.
  • When it comes to your hair what do you focus on? (Choose all that apply)
  • When it comes to body wash what do you focus on? (Choose all that apply)
  • When it comes to body lotion what do you focus on? (Choose all that apply)
  • Would you value plant based oral care products?

  • Children

  • Do you or someone you know have toddlers or children and would value: (choose all that apply)

  • Household Products

    Please fill out the section below if you are interested in our Amway home products (clean, high quality, environmentally safe cleaning)
  • Would you value replacing any of the products below for a cleaner and safer home? (Choose all that apply)

  • Kitchen

    Would you value high quality, long lasting kitchen utensils? If not move to the next section.
  • Would you value any of the following high quality kitchen items? (Check all that apply)

  • Agriculture

  • Would you value agriculture products that help crops, house plants, or even your lawn grow and thrive?
  • Should be Empty: