Gut health questionnaire
Isabel Carman
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Address
City
State / Province
What are your current health goals? Select all that apply
More energy
Gut health/digestion
Better Mood
Weight management
Better sleep
Skin health
Overall wellness
Other
If other, please list here.
Which of the following best describe your current lifestyle?
Busy, always on the go
Balanced but could use improvement
Struggling to find a routine
Already very health focused
How often do you currently take health or wellness supplements?
Daily
A few times a week
Rarely
Never
Have you ever experienced issues with gut health or digestion?
Yes, regularly
Occasionally
No, not really
Not sure
On a scale from 1-5, how satisfied you with your current energy level?
1-always exhausted
2
3- average
4
5-full of energy every day
What’s your biggest struggle right now in terms of health or lifestyle?
Staying consistent
Feeling tired or sluggish
Digestive issues
Sugar cravings
Lack of support
Motivation
Other
If other, please list here
What best describes your interest in Plexus
I want help with my health goals
I’m interested in making income
Both health and business
Just curious for now
How would you prefer to learn more or get started?
A quick call or chat
More info via text or DM
A short video or guide
I’m not ready yet
What is the best way to follow up with you?
Text measage
Phone call
IG Messenger
Fb Messenger
Submit
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