USA Health Survey

Welcome to CompleteHealth24

Meet the coaches
We are Shaun and Wilri, a dynamic husband and wife team. A story of a client who became a wife and a coach who became a husband. We are here to help you achieve your wellness goals whether it is to lose weight, increase your energy, boost your metabolism or better your health. We will walk this journey with you!

Your FREE Health & Wellness Survey

Complete the Health Survey below, submit it, and we will get back to you within 24 hours.

Full Name

First NameLast Name

Mobile Number

Whatsapp OR Telegram Number (if different)

Email

example@example.com

Who is your Coach?

How did you hear about us?

Other

What are your current health goals? (Tick all that apply)

What other programs / products have you tried in the past?

Why do you feel that these other program(s) did not work?

How are your energy levels during the day?

What is your breakfast routine like (Tick all that apply).

Other

How many glasses of water do you drink daily?

How much do you spend on food daily?

How often do you EAT OUT a week (this includes getting Take-Aways).

Are you currently taking any prescription medications? If so for what?

Do you suffer from any of the following health issues? (Tick all that apply)

Thank you for completing the form. After submitting we will be in contact with you within 24hrs.

(All information remains confidential and will not be shared with anyone)