Wellness Profile

✨ Spark Your Nutrition Wellness Profile

Welcome to Spark Your Nutrition! 🌿We’re so excited you’re here.Please fill out this quick wellness profile so we can personalize your Herbalife plan and help you fuel your journey to better energy, confidence, and balance.
Full Name*

First NameLast Name
Gender

MaleFemale
Email
example@example.com
Phone Number

Area CodePhone Number
Instagram or Facebook Handle
Best way to contact you?
Text/call/email/DM
🌱 Wellness Goals: What are your current wellness goals?

Weight lossEnergyConfidenceHealthy MealsMuscle ToneBetter NutritionOther
What’s your biggest motivation to reach these goals?
On a scale of 1-10, how ready are you to make a change?
🥤 Nutrition Habits
How many meals do you eat per day on average?
How much water do you drink daily?
How often do you drink coffee, soda, or energy drinks?
Do you currently use any Herbalife products? If yes, which ones?
Any food allergies or restrictions
✨ Lifestyle & Energy: How would you describe your daily energy level?

LowMediumHigh
How much sleep do you get per night?
Do you exercise regularly? If yes, what type and how often?
💚 Let’s Personalize Your Plan: what kind of support do you need most?

Nutrition guidanceAccountabilityEnergy supportMeal ideasMotivationOther
Thank you for completing your Spark Your Nutrition Wellness Profile! 🌿

You’re one step closer to fueling your day and sparking your wellness journey 💚
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✨ Spark Your Nutrition Wellness Profile