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What are your primary health goals? (Choose all that apply)
Weight loss
Increased energy
Detox/Cleansing
Appetite control
Body sculpting and toning
General wellness
Do you have any dietary restrictions or allergies?
No
Yes (Please specify below)
Specify your dietary restrictions or allergies, if none put N/A
Which products are you most interested in? (Choose all that apply)
Skinny Drops
Gut Juice Detox Pills
Detox Plums
Detox Teas
Slim Sculpt Waist Trainers
Vacuum Therapy Machine
BBL Candy
Seamoss Gummies
Lipo Oil
Skinny Patches
Collagen Gummies
Compression Tape
What is your preferred method of weight management?
Supplements (pills, gummies, or drops)
Detox (teas, plums, or juices)
Body enhancement tools (waist trainers, vacuum therapy)
Topical solutions (Lipo Oil, Skinny Patches)
How would you describe your activity level?
Sedentary (little to no exercise)
Lightly active (light exercise/sports 1-3 days/week)
Moderately active (moderate exercise/sports 3-5 days/week)
Very active (hard exercise/sports 6-7 days/week)
Super active (very hard exercise/physical job)
Do you have any specific areas you’d like to target?
Belly fat
Thighs
Arms
Overall body fat
Other (Please specify below)
Specify areas you’d like to target here
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