Hair and Skin Health Questionnaire
I look forward to working with you.
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Age?
What medicines are you currently taking?
What do you think causes your hair loss? Hormones? Weight loss? Covid? Protein Deficiency? Anxiety (yep, this is a HUGE culprit)? Cortisol Imbalance? Thyroid issues? Or if you are like me, it's ALL OF THE ABOVE!
Do you color your hair? Does your hair hold color like it used to? Does it ever turn brassy?
Do you ever suffer from brain fog?
Are you taking Ozempic, Mounjaro or Wegovy?
Do you have any weight to lose at all? I am not blanket recommending the 5/1 to my clients anymore, and may suggest you try one of our other new programs.
Have you ever had an Optavia Coach? We have to order the hair and skin products through a coach. I am a coach, but always want you to honor the coach you are currently working with if they are engaged!
My children both use the protein powder too. One is an athlete and one a vegetarian so we are always trying to find healthy proteins for them. Will your kids be using?
Do you prefer chocolate or vanilla?
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